Provider Demographics
NPI:1154773372
Name:MUNICIPIO DE SAN SEBASTIAN
Entity type:Organization
Organization Name:MUNICIPIO DE SAN SEBASTIAN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT / MAYOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JAVIER
Authorized Official - Middle Name:
Authorized Official - Last Name:JIMENEZ PEREZ
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:787-896-2300
Mailing Address - Street 1:3 CALLE PADRE FELICIANO
Mailing Address - Street 2:
Mailing Address - City:SAN SEBASTIAN
Mailing Address - State:PR
Mailing Address - Zip Code:00685-2216
Mailing Address - Country:US
Mailing Address - Phone:787-896-2300
Mailing Address - Fax:787-896-3012
Practice Address - Street 1:3 CALLE PADRE FELICIANO
Practice Address - Street 2:
Practice Address - City:SAN SEBASTIAN
Practice Address - State:PR
Practice Address - Zip Code:00685-1603
Practice Address - Country:US
Practice Address - Phone:787-896-2300
Practice Address - Fax:787-896-3012
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-12
Last Update Date:2016-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR343800000X343800000X
PR343900000X343900000X
PR347C00000X347C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle
No343800000XTransportation ServicesSecured Medical Transport (VAN)
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)