Healthcare Provider Details

I. General information

NPI: 1801700331
Provider Name (Legal Business Name): EMERGENCY DISASTER SOLUTIION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

283 CALLE CONCEPCION VERA # 283
MOCA PR
00676-4822
US

IV. Provider business mailing address

283 CALLE CONCEPCION VERA # 251
MOCA PR
00676-4822
US

V. Phone/Fax

Practice location:
  • Phone: 787-408-5817
  • Fax:
Mailing address:
  • Phone: 787-408-5817
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333300000X
TaxonomyEmergency Response System Companies
License Number
License Number StateNULL

VIII. Authorized Official

Name: KELVIN CABAN
Title or Position: ELDERLY COMUNITY CASE MANAGER
Credential: CEO
Phone: 939-372-8692