Provider Demographics
NPI:1538387980
Name:GOBIERNO MUNICIPAL DE JUNCOS
Entity type:Organization
Organization Name:GOBIERNO MUNICIPAL DE JUNCOS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARITZEL
Authorized Official - Middle Name:
Authorized Official - Last Name:PEREZ
Authorized Official - Suffix:
Authorized Official - Credentials:MHSA
Authorized Official - Phone:787-734-0494
Mailing Address - Street 1:PO BOX 1706
Mailing Address - Street 2:HOSPITAL MUNICIPAL DR. CESAR A. COLLAZO
Mailing Address - City:JUNCOS
Mailing Address - State:PR
Mailing Address - Zip Code:00777-1706
Mailing Address - Country:US
Mailing Address - Phone:787-734-0494
Mailing Address - Fax:787-734-0185
Practice Address - Street 1:37 CALLE MUNOZ RIVERA
Practice Address - Street 2:HOSPITAL MUNICIPAL DR. CESAR A. COLLAZO
Practice Address - City:JUNCOS
Practice Address - State:PR
Practice Address - Zip Code:00777-3114
Practice Address - Country:US
Practice Address - Phone:787-734-0494
Practice Address - Fax:787-734-0185
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-23
Last Update Date:2014-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR997954OtherMMM
PR600356OtherPREFERRED HEALTH
PR8100088OtherHUMANA
PR9004629OtherACCA
PRP421OtherIMC
PR600356OtherPREFERRED HEALTH
PR600356OtherPREFERRED HEALTH
PR8100088OtherHUMANA
PR9004629OtherACCA
PR=========OtherHUMANA GOLD PLUS
PR=========1OtherMCS