Organization Name: | LUCIANO ROMAN GONZALEZ |
NPI Number: | 1407874050 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LUCIANO ROMAN (OWNER-ADMINISTRATOR) |
Mailing Address: | Carr #2 Km. 95.3 Bo. Yeguada Camuy |
State: | PR US |
Postal Code: | 00627 |
Phone Number: | 7878984442 |
Fax Number: | 7878984442 |
NPI Enumeration Date: | 07/18/2006 |
NPI Last Update Date: | 04/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416L0300X |
License Number: | TCAMB334 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Land Transport |
Taxonomy Definition: |