Basic Information
| Provider Information | |||||||||
| NPI: | 1336492909 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | CIMA | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 737 | ||||||||
| Address2: | |||||||||
| City: | ISABELA | ||||||||
| State: | PR | ||||||||
| PostalCode: | 006620737 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7878302747 | ||||||||
| FaxNumber: | 7878300465 | ||||||||
| Practice Location | |||||||||
| Address1: | AVE AGUSTIN RAMOS CALERO | ||||||||
| Address2: | KM 1.4 | ||||||||
| City: | ISABELA | ||||||||
| State: | PR | ||||||||
| PostalCode: | 00662 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7878302747 | ||||||||
| FaxNumber: | 7878300465 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/19/2012 | ||||||||
| LastUpdateDate: | 02/22/2018 | ||||||||
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| AuthorizedOfficialLastName: | MEDINA | ||||||||
| AuthorizedOfficialFirstName: | ROXANNE | ||||||||
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| AuthorizedOfficialTitleorPosition: | SECRETARY | ||||||||
| AuthorizedOfficialTelephone: | 7878302747 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 341600000X | MU9339 | PR | N | Transportation Services | Ambulance | 341600000X | MU9338 | PR | Y | Transportation Services | Ambulance |
No ID Information.