Provider Demographics
NPI:1770911190
Name:OFICINA PRO AYUDA A PERSONAS CON IMPEDIMENTOS, INC,
Entity type:Organization
Organization Name:OFICINA PRO AYUDA A PERSONAS CON IMPEDIMENTOS, INC,
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RAFAEL
Authorized Official - Middle Name:M
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-525-3041
Mailing Address - Street 1:PO BOX 1089
Mailing Address - Street 2:
Mailing Address - City:RIO GRANDE
Mailing Address - State:PR
Mailing Address - Zip Code:00745-1089
Mailing Address - Country:US
Mailing Address - Phone:787-809-1165
Mailing Address - Fax:787-888-0670
Practice Address - Street 1:15 CALLE SOLEDAD
Practice Address - Street 2:
Practice Address - City:RIO GRANDE
Practice Address - State:PR
Practice Address - Zip Code:00745
Practice Address - Country:US
Practice Address - Phone:787-809-1165
Practice Address - Fax:787-809-0670
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-22
Last Update Date:2013-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR683995343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)