Healthcare Provider Details

I. General information

NPI: 1710975131
Provider Name (Legal Business Name): B M PROFESSIONAL CARE AMBULANCE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARRETERA 848KM 2.8 SAINT JUST
CAROLINA PR
00987
US

IV. Provider business mailing address

PO BOX 6017 PMB 596
CAROLINA PR
00984-6017
US

V. Phone/Fax

Practice location:
  • Phone: 787-276-6565
  • Fax: 787-701-1728
Mailing address:
  • Phone: 787-276-6565
  • Fax: 787-701-1728

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State

VIII. Authorized Official

Name: BRENDA MALDONADO GARCIA
Title or Position: PRESIDENTA
Credential:
Phone: 787-276-6565