Provider Demographics
NPI:1295320794
Name:CUIDADO CRITICO DEL NORTE INC
Entity type:Organization
Organization Name:CUIDADO CRITICO DEL NORTE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENTE
Authorized Official - Prefix:
Authorized Official - First Name:ADALBERTO
Authorized Official - Middle Name:
Authorized Official - Last Name:GONZALEZ RODRIGEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-597-7928
Mailing Address - Street 1:PO BOX 144035
Mailing Address - Street 2:PMB 133
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:00614-4035
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:BARRIO RODRIGUEZ OLMO
Practice Address - Street 2:SECTOR EL TANQUE R9
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00612
Practice Address - Country:US
Practice Address - Phone:787-597-7928
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-05
Last Update Date:2021-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR2209101OtherLICENSE