Healthcare Provider Details

I. General information

NPI: 1033077227
Provider Name (Legal Business Name): EMANUEL CIRINO OSORIO PARAMEDIC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/14/2026
Last Update Date: 04/26/2026
Certification Date: 04/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

HC 2 BOX 6402
LOIZA PR
00772-9767
US

IV. Provider business mailing address

HC 2 BOX 6402
LOIZA PR
00772-9767
US

V. Phone/Fax

Practice location:
  • Phone: 787-775-0000
  • Fax:
Mailing address:
  • Phone: 787-359-2579
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number107112
License Number StatePR
# 2
Primary TaxonomyY
Taxonomy Code146L00000X
TaxonomyParamedic
License Number4119
License Number StatePR
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number41105
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: