Provider Demographics
NPI:1194929208
Name:MUNICIPALITY OF VEGA BAJA
Entity type:Organization
Organization Name:MUNICIPALITY OF VEGA BAJA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RAYMOND
Authorized Official - Middle Name:
Authorized Official - Last Name:TABOAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:939-630-6125
Mailing Address - Street 1:PO BOX 4555
Mailing Address - Street 2:
Mailing Address - City:VEGA BAJA
Mailing Address - State:PR
Mailing Address - Zip Code:00694-4555
Mailing Address - Country:US
Mailing Address - Phone:787-858-5080
Mailing Address - Fax:787-807-0203
Practice Address - Street 1:CALLE BETANCES #70
Practice Address - Street 2:ANTIGUO CDT
Practice Address - City:VEGA BAJA
Practice Address - State:PR
Practice Address - Zip Code:00693
Practice Address - Country:US
Practice Address - Phone:787-858-5080
Practice Address - Fax:787-807-0203
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-13
Last Update Date:2014-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PRTC-AMB-398341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance