Healthcare Provider Details

I. General information

NPI: 1780954446
Provider Name (Legal Business Name): GM PARAMEDICAL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/11/2012
Last Update Date: 05/15/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR. 155 KM 29.4 INTERIOR
OROCOVIS PR
00720-2186
US

IV. Provider business mailing address

PO BOX 2186
OROCOVIS PR
00720-2186
US

V. Phone/Fax

Practice location:
  • Phone: 787-867-4942
  • Fax: 787-867-2095
Mailing address:
  • Phone: 787-867-4942
  • Fax: 787-867-2095

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License NumberTCAMB595
License Number StatePR

VII. Legacy identifiers

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

VIII. Authorized Official

Name: MR. GERMAN MARRERO
Title or Position: PRESIDENT
Credential: EMT-P
Phone: 787-867-4942