Provider Demographics
NPI:1518464825
Name:EMPRESAS MPF, LLC
Entity Type:Organization
Organization Name:EMPRESAS MPF, LLC
Other - Org Name:VACUNAS PUERTO RICO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANCISCO
Authorized Official - Middle Name:GABRIEL
Authorized Official - Last Name:GOMEZ AVILES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:229-944-0242
Mailing Address - Street 1:35A CALLE GEORGETTI STE 2
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00725-3946
Mailing Address - Country:US
Mailing Address - Phone:787-665-4320
Mailing Address - Fax:
Practice Address - Street 1:35A CALLE GEORGETTI STE 2
Practice Address - Street 2:
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725-3946
Practice Address - Country:US
Practice Address - Phone:787-665-4320
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-12
Last Update Date:2021-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center