Provider Demographics
NPI:1841583101
Name:MUNICIPIO DE GUANICA
Entity Type:Organization
Organization Name:MUNICIPIO DE GUANICA
Other - Org Name:EMERGENCIAS MEDICAS MUNICIPIO DE GUANICA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:ALICEA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-821-0402
Mailing Address - Street 1:PO BOX 785
Mailing Address - Street 2:
Mailing Address - City:GUANICA
Mailing Address - State:PR
Mailing Address - Zip Code:00653-0785
Mailing Address - Country:US
Mailing Address - Phone:787-821-0402
Mailing Address - Fax:787-569-4021
Practice Address - Street 1:RAMAL 116 KM 2.2
Practice Address - Street 2:
Practice Address - City:GUANICA
Practice Address - State:PR
Practice Address - Zip Code:00653
Practice Address - Country:US
Practice Address - Phone:787-821-0402
Practice Address - Fax:787-569-4021
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MUNICIPIO DE GUANICA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-05-19
Last Update Date:2011-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PRTC AMB 6743416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport