Provider Demographics
NPI:1649978040
Name:EUFORIA COSMETICS CORPORATION
Entity type:Organization
Organization Name:EUFORIA COSMETICS CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HILTON
Authorized Official - Middle Name:EMILIO
Authorized Official - Last Name:RIVERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-472-0436
Mailing Address - Street 1:185 CANDELERO DR APT 609
Mailing Address - Street 2:
Mailing Address - City:HUMACAO
Mailing Address - State:PR
Mailing Address - Zip Code:00791-6133
Mailing Address - Country:US
Mailing Address - Phone:787-289-0808
Mailing Address - Fax:
Practice Address - Street 1:1060 AVE ASHFORD
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00907-1203
Practice Address - Country:US
Practice Address - Phone:787-289-0808
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-16
Last Update Date:2023-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty