Provider Demographics
NPI:1962837633
Name:CARIBBEAN ALLCARE SERVICES, INC
Entity Type:Organization
Organization Name:CARIBBEAN ALLCARE SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JAVIER
Authorized Official - Middle Name:
Authorized Official - Last Name:AGRELO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-309-0611
Mailing Address - Street 1:1519 AVE. PONCE DE LEON
Mailing Address - Street 2:SUITE 1201
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00910-0000
Mailing Address - Country:US
Mailing Address - Phone:787-399-0611
Mailing Address - Fax:
Practice Address - Street 1:267 CALLE SIERRA MORENA
Practice Address - Street 2:PMB 365
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926-5583
Practice Address - Country:US
Practice Address - Phone:787-399-0611
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-12
Last Update Date:2013-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No171W00000XOther Service ProvidersContractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR329286OtherCORPORATE REGISTRATION NUMBER