Provider Demographics
NPI:1841941374
Name:A3E
Entity type:Organization
Organization Name:A3E
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PEDIATRICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:AMNERIS
Authorized Official - Middle Name:
Authorized Official - Last Name:COLON BOSQUES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-604-3113
Mailing Address - Street 1:HC 2 BOX 12127
Mailing Address - Street 2:
Mailing Address - City:MOCA
Mailing Address - State:PR
Mailing Address - Zip Code:00676-8261
Mailing Address - Country:US
Mailing Address - Phone:787-604-3113
Mailing Address - Fax:
Practice Address - Street 1:CARR 111 KM 11.5 BO CAPA
Practice Address - Street 2:PLAZA QUINTANA
Practice Address - City:MOCA
Practice Address - State:PR
Practice Address - Zip Code:00676
Practice Address - Country:US
Practice Address - Phone:787-232-8561
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-17
Last Update Date:2022-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty