Provider Demographics
NPI:1528267655
Name:MUNICIPALITY OF CATANO
Entity type:Organization
Organization Name:MUNICIPALITY OF CATANO
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:PRAXEDES
Authorized Official - Middle Name:
Authorized Official - Last Name:PEDRAZA
Authorized Official - Suffix:
Authorized Official - Credentials:MHSA
Authorized Official - Phone:787-788-0430
Mailing Address - Street 1:PO BOX 428
Mailing Address - Street 2:
Mailing Address - City:CATANO
Mailing Address - State:PR
Mailing Address - Zip Code:00963
Mailing Address - Country:US
Mailing Address - Phone:787-788-0430
Mailing Address - Fax:787-788-0455
Practice Address - Street 1:AVE LAS NEREIDAS #126
Practice Address - Street 2:
Practice Address - City:CATANO
Practice Address - State:PR
Practice Address - Zip Code:00963
Practice Address - Country:US
Practice Address - Phone:787-788-0448
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-18
Last Update Date:2008-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR90261QE0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0002XAmbulatory Health Care FacilitiesClinic/CenterEmergency Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR600310OtherPREFERRED HEALTH
PR9620005OtherHUMANA
PR13090OtherGLOBAL HEALTH
PR36872OtherASOCIACION DE MAESTROS (PROSSAM)
PR000003812OtherAMERICAN HEALTH MEDICARE
17048OtherTRIPLE S
PR8355OtherINTERNATIONAL MEDICAL CARD
PR030389OtherCRUZ AZUL
PR1001671OtherACAA
PR995162OtherMEDICARE Y MUCHO MAS
PR0122351OtherACAA
PR00400OtherAMERICAN HEALTH