Provider Demographics
NPI:1841738242
Name:CAMUY HEALTH SERVICES, INC
Entity Type:Organization
Organization Name:CAMUY HEALTH SERVICES, INC
Other - Org Name:CAMUY HEALTH SERVICES, INC
Other - Org Type:Other Name
Authorized Official - Title/Position:BACK OFFICE OFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:YAZMIN
Authorized Official - Middle Name:M
Authorized Official - Last Name:SANTIAGO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-898-2660
Mailing Address - Street 1:63 AVE MUNOZ RIVERA E
Mailing Address - Street 2:
Mailing Address - City:CAMUY
Mailing Address - State:PR
Mailing Address - Zip Code:00627-2630
Mailing Address - Country:US
Mailing Address - Phone:787-898-2660
Mailing Address - Fax:787-262-3789
Practice Address - Street 1:63 AVE MUNOZ RIVERA
Practice Address - Street 2:
Practice Address - City:CAMUY
Practice Address - State:PR
Practice Address - Zip Code:00627
Practice Address - Country:US
Practice Address - Phone:787-898-2660
Practice Address - Fax:787-262-3789
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-06
Last Update Date:2017-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR33146N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes146N00000XEmergency Medical Service ProvidersEmergency Medical Technician, BasicGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0082062Medicare PIN