Healthcare Provider Details
I. General information
NPI: 1891027629
Provider Name (Legal Business Name): CONTINENTAL EMERGENCY MEDICAL
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/04/2010
Last Update Date: 04/25/2013
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
CARRETERA 642 KM 10.7 II SECCION DE JANIS #35
FLORIDA PR
00650
US
IV. Provider business mailing address
PO BOX 142024
ARECIBO PR
00614
US
V. Phone/Fax
- Phone: 787-969-6444
- Fax:
- Phone: 787-969-6444
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3416L0300X |
| Taxonomy | Land Ambulance |
| License Number | TC AMB 656 |
| License Number State | PR |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 343900000X |
| Taxonomy | Non-emergency Medical Transport (VAN) |
| License Number | PCVTE 4488 |
| License Number State | PR |
VIII. Authorized Official
Name:
RANDY
M
RAMIREZ
Title or Position: PRESIDENTE
Credential:
Phone: 787-969-6444