Provider Demographics
NPI:1366903940
Name:CARATTINI BADILLO, ALBERTO JOSE (QUALITYCAREAMBULANCE)
Entity type:Individual
Prefix:
First Name:ALBERTO
Middle Name:JOSE
Last Name:CARATTINI BADILLO
Suffix:
Gender:M
Credentials:QUALITYCAREAMBULANCE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URB HILLCREAST WEST
Mailing Address - Street 2:10212 CALLE OCCIDENTE
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00716
Mailing Address - Country:US
Mailing Address - Phone:787-433-4010
Mailing Address - Fax:
Practice Address - Street 1:URB HILLCREAST WEST
Practice Address - Street 2:10212 CALLE OCCIDENTE
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00716
Practice Address - Country:US
Practice Address - Phone:787-433-4010
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-27
Last Update Date:2019-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PRAU-18809-20183416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport