Provider Demographics
NPI:1851615488
Name:GOBIERNO MUNICIPAL GURABO
Entity Type:Organization
Organization Name:GOBIERNO MUNICIPAL GURABO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ALCALDE
Authorized Official - Prefix:MR
Authorized Official - First Name:VICTOR
Authorized Official - Middle Name:ORTIZ
Authorized Official - Last Name:DIAZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-712-1100
Mailing Address - Street 1:PO BOX 3020
Mailing Address - Street 2:
Mailing Address - City:GURABO
Mailing Address - State:PR
Mailing Address - Zip Code:00778-3020
Mailing Address - Country:US
Mailing Address - Phone:787-408-8888
Mailing Address - Fax:787-369-7990
Practice Address - Street 1:CARRETERA 189
Practice Address - Street 2:KILOMETRO 2.3
Practice Address - City:GURABO
Practice Address - State:PR
Practice Address - Zip Code:00778
Practice Address - Country:US
Practice Address - Phone:787-408-8888
Practice Address - Fax:787-369-7990
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-25
Last Update Date:2011-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport