Healthcare Provider Details

I. General information

NPI: 1982465464
Provider Name (Legal Business Name): UNITED EMS PENUELAS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/22/2024
Last Update Date: 12/31/2024
Certification Date: 12/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR 132 KM 8.6 BO SANTO DOMINGO
PENUELAS PR
00624
US

IV. Provider business mailing address

PO BOX 1880
BAYAMON PR
00960-1880
US

V. Phone/Fax

Practice location:
  • Phone: 787-241-6590
  • Fax: 787-777-1577
Mailing address:
  • Phone: 787-949-6799
  • Fax: 787-777-1577

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State

VIII. Authorized Official

Name: VICTOR RIVERA RODRIGUEZ
Title or Position: PRESIDENTE
Credential:
Phone: 787-949-6799