Doctor Name: | MR. ELVIS DOMINGUEZ |
NPI Number: | 1790920387 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | E.M.T |
License Number: | 4663109 |
Business Practice Address: | Hc 3 Box 18685 Lajas, PR - 006679624 |
Business Phone Number: | 7876734836 |
Business Fax Number: | |
Mailing Address: | Hc 03 Box 18685, Lajas, P.r. 00667, LAJAS |
State: | PR |
Postal Code: | 00667 |
Phone Number: | 7876734836 |
Fax Number: | |
NPI Enumeration Date: | 12/10/2008 |
NPI Last Update Date: | 12/10/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 347C00000X |
License Number: | 4663109 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Private Vehicle |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual paid to provide non-emergency transportation using their privately owned/leased vehicle. |