Provider Demographics
NPI:1912283300
Name:FRANK S. BORJA
Entity Type:Organization
Organization Name:FRANK S. BORJA
Other - Org Name:PERFORMANCE MOBILITY SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:SALAS
Authorized Official - Last Name:BORJA
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:671-888-3336
Mailing Address - Street 1:144 CUP OF GOLD ST
Mailing Address - Street 2:
Mailing Address - City:MANGILAO
Mailing Address - State:GU
Mailing Address - Zip Code:96913-5913
Mailing Address - Country:US
Mailing Address - Phone:671-888-3336
Mailing Address - Fax:671-734-5621
Practice Address - Street 1:144 CUP OF GOLD ST
Practice Address - Street 2:
Practice Address - City:MANGILAO
Practice Address - State:GU
Practice Address - Zip Code:96913-5913
Practice Address - Country:US
Practice Address - Phone:671-888-3336
Practice Address - Fax:671-734-5621
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-29
Last Update Date:2011-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GU30-201001274-001332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies