Healthcare Provider Details

I. General information

NPI: 1194662320
Provider Name (Legal Business Name): BA EMERGENCY MEDICAL PRODUCTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARRETERA 941 KM 6.2 BO. JAGUAS CARRETERA 941 KM 6.2 BO. JAGUAS
GURABO PR
00778
US

IV. Provider business mailing address

CARRETERA 941 KM 6.2 BO. JAGUAS CARRETERA 941 KM 6.2 BO. JAGUAS
GURABO PR
00778
US

V. Phone/Fax

Practice location:
  • Phone: 787-318-9792
  • Fax:
Mailing address:
  • Phone: 787-318-9792
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: ALEXIS DAVILA
Title or Position: CEO
Credential: FF/P
Phone: 787-318-9792