Provider Demographics
NPI:1851790265
Name:EMPRESAS JIREH, INC.
Entity Type:Organization
Organization Name:EMPRESAS JIREH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:NOEL
Authorized Official - Last Name:SERRANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-604-4459
Mailing Address - Street 1:PO BOX 2047
Mailing Address - Street 2:
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00681-2047
Mailing Address - Country:US
Mailing Address - Phone:787-826-6453
Mailing Address - Fax:787-826-6453
Practice Address - Street 1:CARR 401 KM 0.9
Practice Address - Street 2:BO. PLAYA
Practice Address - City:ANASCO
Practice Address - State:PR
Practice Address - Zip Code:00610
Practice Address - Country:US
Practice Address - Phone:787-826-6453
Practice Address - Fax:787-826-6453
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-21
Last Update Date:2014-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy