Organization Name: | MADELINE POVENTUD MARQUEZ |
NPI Number: | 1023027901 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MADELINE POVENTUD MARQUEZ (PROPIETARIA) |
Mailing Address: | Bo Naranjo Carr2 Aguada |
State: | PR US |
Postal Code: | 00602 |
Phone Number: | 7872525086 |
Fax Number: | 7872525086 |
NPI Enumeration Date: | 08/07/2006 |
NPI Last Update Date: | 08/19/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416L0300X |
License Number: | TC-AMB-274 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Land Transport |
Taxonomy Definition: |