Healthcare Provider Details

I. General information

NPI: 1306380670
Provider Name (Legal Business Name): EMERGENCY MEDICAL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/06/2016
Last Update Date: 02/28/2024
Certification Date: 02/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CALLE 4 210 SAINT JUST
CAROLINA PR
00987-0098
US

IV. Provider business mailing address

PO BOX 852
SAN LORENZO PR
00754-0852
US

V. Phone/Fax

Practice location:
  • Phone: 787-690-5288
  • Fax:
Mailing address:
  • Phone: 787-690-5288
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License NumberTCAMB-737
License Number StatePR

VIII. Authorized Official

Name: MISS MELISSA VALLEJO DELGADO
Title or Position: PRESIDENT
Credential:
Phone: 787-424-0007