Provider Demographics
NPI:1497336721
Name:AZUL ENTERPRISES INC
Entity Type:Organization
Organization Name:AZUL ENTERPRISES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:G
Authorized Official - Last Name:VARGAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-534-6990
Mailing Address - Street 1:1609 SUNRISE LN
Mailing Address - Street 2:
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78574-3637
Mailing Address - Country:US
Mailing Address - Phone:956-534-6990
Mailing Address - Fax:956-683-6152
Practice Address - Street 1:1609 SUNRISE LN
Practice Address - Street 2:
Practice Address - City:MISSION
Practice Address - State:TX
Practice Address - Zip Code:78574-3637
Practice Address - Country:US
Practice Address - Phone:956-534-6990
Practice Address - Fax:956-683-6152
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-19
Last Update Date:2021-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty