Organization Name: | JIMMY ROSARIO |
NPI Number: | 1114254455 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JIMMY ROSARIO (OWNER) |
Mailing Address: | Carretera 155 Bo Franques Sector Torrecillas Morovis |
State: | PR US |
Postal Code: | 00687 |
Phone Number: | 7873750169 |
Fax Number: | |
NPI Enumeration Date: | 11/06/2009 |
NPI Last Update Date: | 11/06/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416L0300X |
License Number: | TC AMB 494 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Land Transport |
Taxonomy Definition: |