Provider Demographics
NPI:1780976555
Name:MUNICIPIO DE SAN GERMAN
Entity type:Organization
Organization Name:MUNICIPIO DE SAN GERMAN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MAYOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ISIDRO
Authorized Official - Middle Name:
Authorized Official - Last Name:NEGRON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-892-3500
Mailing Address - Street 1:AVE. UNIVERSIDAD INTERAMERICANA #136
Mailing Address - Street 2:PO. BOX 85
Mailing Address - City:SAN GERMAN
Mailing Address - State:PR
Mailing Address - Zip Code:00683
Mailing Address - Country:US
Mailing Address - Phone:787-892-5620
Mailing Address - Fax:787-892-5710
Practice Address - Street 1:CARR. 102 K.M 33.6 URB. SANTA MARIA CALLE GOLONDRINA
Practice Address - Street 2:
Practice Address - City:SAN GERMAN
Practice Address - State:PR
Practice Address - Zip Code:00683
Practice Address - Country:US
Practice Address - Phone:787-892-5620
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-11
Last Update Date:2012-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PRTC-AMB-441341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance