MEDICARE: PR MEDICAL RIDE SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1861349656
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PR MEDICAL RIDE SERVICES

Provider Business Mailing Address
First Line	:	17 RES DR PILA APT 292
Second Line	:
City	:	PONCE
State	:	PR
Zip	:	00716-3939
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	17 RES DR PILA APT 292
Second Line	:
City	:	PONCE
State	:	PR
Zip	:	00716-3939
Country	:	US
Telephone Number	:	787-298-9320
Fax Number	:

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	MAYLEEN ORTIZ
Credential	:
Telephone Number	:	787-298-9320

Provider Enumeration Date	:	03/12/2026
Last Update Date	:	03/12/2026

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Directions to “PR MEDICAL RIDE SERVICES ” Practice Location

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