Provider Demographics
NPI:1598793580
Name:CUERPO DE VOLUNTARIOS DE SERVICIOS MEDICOS DE EMERGENCIAS INC
Entity Type:Organization
Organization Name:CUERPO DE VOLUNTARIOS DE SERVICIOS MEDICOS DE EMERGENCIAS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE SUPERVISOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MARILI
Authorized Official - Middle Name:
Authorized Official - Last Name:BARRIOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-898-6132
Mailing Address - Street 1:PO BOX 1290
Mailing Address - Street 2:
Mailing Address - City:HATILLO
Mailing Address - State:PR
Mailing Address - Zip Code:00659-1290
Mailing Address - Country:US
Mailing Address - Phone:787-262-1686
Mailing Address - Fax:787-898-6132
Practice Address - Street 1:COLISEO MUNICIPAL DE HATILLO
Practice Address - Street 2:CARR#2 KM 87.1 OFICINA #21
Practice Address - City:HATILLO
Practice Address - State:PR
Practice Address - Zip Code:00659
Practice Address - Country:US
Practice Address - Phone:787-262-1686
Practice Address - Fax:787-898-6132
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-29
Last Update Date:2014-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PRTCAMB1553416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRHS321AOtherMEDICARE ID-TYPE UNSPECIFIED