Healthcare Provider Details

I. General information

NPI: 1093455271
Provider Name (Legal Business Name): MULTI SERVICE EMERGENCY CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/29/2022
Last Update Date: 03/29/2022
Certification Date: 03/29/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR. #2 BO. COTTO NORTE
MANATI PR
00617
US

IV. Provider business mailing address

PO BOX 1319
HATILLO PR
00659-1319
US

V. Phone/Fax

Practice location:
  • Phone: 939-287-9111
  • Fax: 787-820-5856
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MIRIAM TALAVERA GUTIERREZ
Title or Position: PRESIDENCIA
Credential:
Phone: 787-397-3888