Provider Demographics
NPI:1831716877
Name:FAURATEC INC
Entity type:Organization
Organization Name:FAURATEC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:
Authorized Official - Last Name:FAURA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-299-1571
Mailing Address - Street 1:PO BOX 10335
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00922-0335
Mailing Address - Country:US
Mailing Address - Phone:787-510-0600
Mailing Address - Fax:
Practice Address - Street 1:833 KM. 12.4 BO FRAILES
Practice Address - Street 2:
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00971
Practice Address - Country:US
Practice Address - Phone:787-510-0600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-25
Last Update Date:2020-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, OtherGroup - Single Specialty