Provider Demographics
NPI:1841632171
Name:EFREN NAVIA SANTIAGO
Entity type:Organization
Organization Name:EFREN NAVIA SANTIAGO
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EFREN
Authorized Official - Middle Name:
Authorized Official - Last Name:NAVIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-797-1737
Mailing Address - Street 1:PO BOX 607071
Mailing Address - Street 2:NUM 5
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00960-7071
Mailing Address - Country:US
Mailing Address - Phone:787-797-1737
Mailing Address - Fax:
Practice Address - Street 1:CALLE 39 BC1 RESVILLE
Practice Address - Street 2:
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00957
Practice Address - Country:US
Practice Address - Phone:787-797-1737
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-29
Last Update Date:2013-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PRTC AMB 1193416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport