Healthcare Provider Details

I. General information

NPI: 1316710601
Provider Name (Legal Business Name): EMILIO MAYMI
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: MAYMI MEDICAL TRANSPORT

II. Dates (important events)

Enumeration Date: 10/30/2023
Last Update Date: 06/07/2026
Certification Date: 06/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

BRISAS DE CEIBA 2 CALLE 9 #335
CEIBA PR
00735
US

IV. Provider business mailing address

PO BOX 1588
CEIBA PR
00735-1588
US

V. Phone/Fax

Practice location:
  • Phone: 939-891-4845
  • Fax:
Mailing address:
  • Phone: 939-439-4701
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License NumberTCAMB-119295
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: