Healthcare Provider Details

I. General information

NPI: 1417186941
Provider Name (Legal Business Name): UNITED EMERGENCY MEDICAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2009
Last Update Date: 03/04/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARRETERA 840 KM 1.6 BO. CERRO GORDO
BAYAMON PR
00956
US

IV. Provider business mailing address

P.O. BOX 1880
BAYAMON PR
00960-1880
US

V. Phone/Fax

Practice location:
  • Phone: 787-730-8664
  • Fax:
Mailing address:
  • Phone: 787-730-8664
  • Fax: 787-797-7032

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License NumberTCAMB592
License Number StatePR

VIII. Authorized Official

Name: MR. JOSUE QUINTERO
Title or Position: PRESIDENT
Credential:
Phone: 787-960-9647