Provider Demographics
NPI:1205296308
Name:MUNICIPALITY OF CATANO
Entity type:Organization
Organization Name:MUNICIPALITY OF CATANO
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VICEMAYOR OF MUNICIPALITY OF CATANO
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:PEREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-788-0404
Mailing Address - Street 1:PO BOX 428
Mailing Address - Street 2:
Mailing Address - City:CATANO
Mailing Address - State:PR
Mailing Address - Zip Code:00963-0428
Mailing Address - Country:US
Mailing Address - Phone:787-788-0404
Mailing Address - Fax:
Practice Address - Street 1:CARR 5 KM 2.8
Practice Address - Street 2:
Practice Address - City:CATANO
Practice Address - State:PR
Practice Address - Zip Code:00963-0428
Practice Address - Country:US
Practice Address - Phone:787-788-0404
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LABORATORIO CDT EULALIA KUILAN
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-03-02
Last Update Date:2023-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1290291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR1290OtherLIC