Healthcare Provider Details

I. General information

NPI: 1326902438
Provider Name (Legal Business Name): FIRST RESPONDER MEDICAL TRANSPORT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/12/2025
Last Update Date: 12/12/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR 101 KM 6.3 BARRIO LAS ARENAS
CABO ROJO PR
00623
US

IV. Provider business mailing address

CARR 101 KM 16.3 BARRIO LAS ARENAS
CABO ROJO PR
00623
US

V. Phone/Fax

Practice location:
  • Phone: 787-999-9999
  • Fax:
Mailing address:
  • Phone:
  • 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: KHRYSTELLE M HERNANDEZ
Title or Position: PROPETARIA
Credential:
Phone: 787-514-4662