Provider Demographics
NPI:1487907457
Name:NUEVA VIDA ELDERLY INC.
Entity type:Organization
Organization Name:NUEVA VIDA ELDERLY INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:PROF
Authorized Official - First Name:SARA
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-436-6646
Mailing Address - Street 1:URB. MONACO 1
Mailing Address - Street 2:STREET 4 G-22
Mailing Address - City:MANATI
Mailing Address - State:PR
Mailing Address - Zip Code:00674
Mailing Address - Country:US
Mailing Address - Phone:787-512-2001
Mailing Address - Fax:
Practice Address - Street 1:SECTOR LOS RABANOS
Practice Address - Street 2:CARR 604 KM 2.5
Practice Address - City:MANATI
Practice Address - State:PR
Practice Address - Zip Code:00674
Practice Address - Country:US
Practice Address - Phone:787-436-6646
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-16
Last Update Date:2012-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)