Organization Name: | ADOLFO AVILES |
NPI Number: | 1235224585 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ADOLFO AVILES (OWNER) |
Mailing Address: | 65 Calle 65 Infanteria Suite 208 Anasco |
State: | PR US |
Postal Code: | 006102909 |
Phone Number: | 7878260770 |
Fax Number: | 7878954630 |
NPI Enumeration Date: | 10/03/2006 |
NPI Last Update Date: | 07/13/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416L0300X |
License Number: | TC-AMB-201 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Land Transport |
Taxonomy Definition: |