Provider Demographics
NPI:1548802853
Name:BORIA, FREDDIE SR
Entity Type:Individual
Prefix:
First Name:FREDDIE
Middle Name:
Last Name:BORIA
Suffix:SR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URB. EL CORTIJO CALLE 16 N-2
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00956
Mailing Address - Country:US
Mailing Address - Phone:787-359-3749
Mailing Address - Fax:787-277-0064
Practice Address - Street 1:100 CARR. 165 CENTRO INTERNACIONAL DE MERCADEO
Practice Address - Street 2:SUITE 409
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00968
Practice Address - Country:US
Practice Address - Phone:787-359-3749
Practice Address - Fax:787-277-0064
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-09
Last Update Date:2020-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport