Organization Name: | PEDRO LUGO |
NPI Number: | 1083835243 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PEDRO LUGO (OWNER) |
Mailing Address: | Carr 109, Km. 5.3 Bo Espino Anasco |
State: | PR US |
Postal Code: | 00610 |
Phone Number: | 7878262525 |
Fax Number: | 7878180429 |
NPI Enumeration Date: | 05/02/2007 |
NPI Last Update Date: | 05/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416L0300X |
License Number: | TC AMB 424 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Land Transport |
Taxonomy Definition: |