Healthcare Provider Details

I. General information

NPI: 1659297869
Provider Name (Legal Business Name): PRESTIGE AMBULANCE EMERGENCY CARE LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 06/24/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR 110 KM 7 HECTOMETRO 7 INT, BO CERRO GORDO
AGUADA PR
00602
US

IV. Provider business mailing address

PARCELAS LOMAS VERDES, CALLE ESTERLINA 642
MOCA PR
00676
US

V. Phone/Fax

Practice location:
  • Phone: 939-252-2081
  • Fax:
Mailing address:
  • Phone: 939-252-2081
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: JINELYS HERNANDEZ GARCIA
Title or Position: CHIEF EXECUTIVE MANAGER
Credential:
Phone: 939-252-2081