Provider Demographics
NPI:1699090910
Name:JOSE R PADIN RUIZ
Entity type:Organization
Organization Name:JOSE R PADIN RUIZ
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:R
Authorized Official - Last Name:PADIN RUIZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-895-8100
Mailing Address - Street 1:PO BOX 151
Mailing Address - Street 2:
Mailing Address - City:QUEBRADILLAS
Mailing Address - State:PR
Mailing Address - Zip Code:00678-0151
Mailing Address - Country:US
Mailing Address - Phone:787-895-8100
Mailing Address - Fax:787-895-8100
Practice Address - Street 1:KM 9.7 113 STREET, MABODOMACA AVE.
Practice Address - Street 2:BO TERRANOVA
Practice Address - City:QUEBRADILLAS
Practice Address - State:PR
Practice Address - Zip Code:00678
Practice Address - Country:US
Practice Address - Phone:787-895-8100
Practice Address - Fax:787-895-8100
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-30
Last Update Date:2010-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PRTCAMB-6483416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport