Provider Demographics
NPI:1003177692
Name:LLEVAMED CORP.
Entity type:Organization
Organization Name:LLEVAMED CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENTE
Authorized Official - Prefix:MRS
Authorized Official - First Name:CARLA
Authorized Official - Middle Name:M
Authorized Official - Last Name:ALVIRA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-223-0047
Mailing Address - Street 1:PO BOX 6017
Mailing Address - Street 2:PMB 331
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00984-6017
Mailing Address - Country:US
Mailing Address - Phone:787-223-0047
Mailing Address - Fax:
Practice Address - Street 1:879 CALLE RAMOS RODRIGUEZ
Practice Address - Street 2:URBANIZACION JOSE SEVERO QUINONEZ
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00985-5647
Practice Address - Country:US
Practice Address - Phone:787-223-0047
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-31
Last Update Date:2012-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR203603343900000X, 3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)