Organization Name: | VICTOR M VEGA |
NPI Number: | 1154535243 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | VICTOR M VEGA (OWNER) |
Mailing Address: | Carr 385, Km. 0.5, Bo. Cuevas Cdt De Penuelas Penuelas |
State: | PR US |
Postal Code: | 00624 |
Phone Number: | 7875853324 |
Fax Number: | 7872593292 |
NPI Enumeration Date: | 05/09/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416L0300X |
License Number: | P1772 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Land Transport |
Taxonomy Definition: |