Provider Demographics
NPI:1780636753
Name:MUNICIPIO DE SANTA ISABEL
Entity Type:Organization
Organization Name:MUNICIPIO DE SANTA ISABEL
Other - Org Name:EMERGENCIAS MEDICA SANTA ISABEL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BILLING AGENT
Authorized Official - Prefix:
Authorized Official - First Name:RAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMOS
Authorized Official - Suffix:
Authorized Official - Credentials:CPC
Authorized Official - Phone:787-424-8441
Mailing Address - Street 1:PO BOX 725
Mailing Address - Street 2:
Mailing Address - City:SANTA ISABEL
Mailing Address - State:PR
Mailing Address - Zip Code:00757
Mailing Address - Country:US
Mailing Address - Phone:787-845-4040
Mailing Address - Fax:787-845-3320
Practice Address - Street 1:89 CALLE HOSTOS
Practice Address - Street 2:
Practice Address - City:SANTA ISABEL
Practice Address - State:PR
Practice Address - Zip Code:00757-2660
Practice Address - Country:US
Practice Address - Phone:787-845-5555
Practice Address - Fax:787-845-3320
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-17
Last Update Date:2020-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR9004238OtherACAA
PR3900050OtherHUM INS
PR3900050OtherHEALTHPLAN