Provider Demographics
NPI:1801256870
Name:A & M CORP.
Entity type:Organization
Organization Name:A & M CORP.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OPTICO LIC.
Authorized Official - Prefix:DR
Authorized Official - First Name:ANGEL
Authorized Official - Middle Name:
Authorized Official - Last Name:MARIN MARIN
Authorized Official - Suffix:
Authorized Official - Credentials:331
Authorized Official - Phone:787-850-5222
Mailing Address - Street 1:PO BOX 895
Mailing Address - Street 2:
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00986-0895
Mailing Address - Country:US
Mailing Address - Phone:787-769-6500
Mailing Address - Fax:
Practice Address - Street 1:350 STATE RD 3
Practice Address - Street 2:PLAZA PALMA REAL SHOPPING CENTER STE 170
Practice Address - City:HUMACAO
Practice Address - State:PR
Practice Address - Zip Code:00986-0895
Practice Address - Country:US
Practice Address - Phone:787-769-6500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-03
Last Update Date:2016-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR331261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR584117005OtherOPTICO LIC.
PR331OtherOPTICO LIC.