Provider Demographics
NPI:1598249302
Name:GOBIERNO MUNICIPAL DE JUNCOS
Entity Type:Organization
Organization Name:GOBIERNO MUNICIPAL DE JUNCOS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE ASSISTANT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ZORAYA
Authorized Official - Middle Name:
Authorized Official - Last Name:RIVERA
Authorized Official - Suffix:
Authorized Official - Credentials:AO
Authorized Official - Phone:787-734-0494
Mailing Address - Street 1:PO BOX 1706
Mailing Address - Street 2:
Mailing Address - City:JUNCOS
Mailing Address - State:PR
Mailing Address - Zip Code:00777-1706
Mailing Address - Country:US
Mailing Address - Phone:787-333-6085
Mailing Address - Fax:787-734-0185
Practice Address - Street 1:CALLE LUIS MUNOZ RIVERA FINAL
Practice Address - Street 2:
Practice Address - City:JUNCOS
Practice Address - State:PR
Practice Address - Zip Code:00777
Practice Address - Country:US
Practice Address - Phone:787-734-0494
Practice Address - Fax:787-734-0185
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GOBIERNO MUNICIPAL DE JUNCOS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-09-18
Last Update Date:2018-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service