Provider Demographics
NPI:1891338380
Name:NYX, INC
Entity Type:Organization
Organization Name:NYX, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:FACEL
Authorized Official - Middle Name:
Authorized Official - Last Name:CASTA BAEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-667-2725
Mailing Address - Street 1:COND. EXECUTIVE
Mailing Address - Street 2:623 AVE PONCE DE LEON SUITE 802-B
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00917-4820
Mailing Address - Country:US
Mailing Address - Phone:787-667-2725
Mailing Address - Fax:
Practice Address - Street 1:BANCO COOPERATIVO SUITE 802-B
Practice Address - Street 2:623 AVE PONCE DE LEON
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00917-4820
Practice Address - Country:US
Practice Address - Phone:787-667-2725
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-28
Last Update Date:2022-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies