Provider Demographics
NPI:1144264383
Name:MUNICIPIO AUTONOMO DE PONCE
Entity type:Organization
Organization Name:MUNICIPIO AUTONOMO DE PONCE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CITY MAYOR
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:E
Authorized Official - Last Name:MELENDEZ-ALTIERI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-284-4141
Mailing Address - Street 1:PO BOX 331709
Mailing Address - Street 2:
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00733-1709
Mailing Address - Country:US
Mailing Address - Phone:787-844-3443
Mailing Address - Fax:787-259-1317
Practice Address - Street 1:EDIFICIO JOSE DAPENA LAGUNA
Practice Address - Street 2:AVE. BOULEVARD MIGUEL POU
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00733-1709
Practice Address - Country:US
Practice Address - Phone:787-844-3443
Practice Address - Fax:787-259-1317
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-16
Last Update Date:2014-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PRTCAMB394341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance