Provider Demographics
NPI:1376830398
Name:EMP OF PUERTO RICO, INC.
Entity Type:Organization
Organization Name:EMP OF PUERTO RICO, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:OSVALDO
Authorized Official - Middle Name:
Authorized Official - Last Name:DE LA PEDRAJA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-441-5939
Mailing Address - Street 1:2850 S DOUGLAS RD
Mailing Address - Street 2:THIRD FLOOR
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-6925
Mailing Address - Country:US
Mailing Address - Phone:305-460-0939
Mailing Address - Fax:305-441-6632
Practice Address - Street 1:2850 S DOUGLAS RD
Practice Address - Street 2:THIRD FLOOR
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-6925
Practice Address - Country:US
Practice Address - Phone:305-460-0939
Practice Address - Fax:305-441-6632
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-29
Last Update Date:2011-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management