Provider Demographics
NPI:1629205620
Name:GOBIERNO MUNICIPAL DE FAJARDO
Entity Type:Organization
Organization Name:GOBIERNO MUNICIPAL DE FAJARDO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTORA MANEJO DE EMERGENCIAS
Authorized Official - Prefix:MRS
Authorized Official - First Name:MIRIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:VELEZ ROMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-863-1502
Mailing Address - Street 1:PO BOX 865
Mailing Address - Street 2:
Mailing Address - City:FAJARDO
Mailing Address - State:PR
Mailing Address - Zip Code:00738-0865
Mailing Address - Country:US
Mailing Address - Phone:787-863-1502
Mailing Address - Fax:
Practice Address - Street 1:AVENIDA GENERAL VALERO CALLE LUIS M. CINTRON
Practice Address - Street 2:ANTIGUO CDT DE FAJARDO
Practice Address - City:FAJARDO
Practice Address - State:PR
Practice Address - Zip Code:00738
Practice Address - Country:US
Practice Address - Phone:787-863-1502
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-17
Last Update Date:2019-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PRTCAMB4033416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport