Healthcare Provider Details

I. General information

NPI: 1427975655
Provider Name (Legal Business Name): PR EMERGENCY MEDICINE & CRITICAL CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

715 AVE PONCE DE LEON
SAN JUAN PR
00917-5032
US

IV. Provider business mailing address

1201 N MARKET ST STE 111
WILMINGTON DE
19801-1156
US

V. Phone/Fax

Practice location:
  • Phone: 787-455-2068
  • Fax:
Mailing address:
  • Phone: 787-455-2068
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. LESLIE A JUARBE RIVERA
Title or Position: OWNER
Credential: MD
Phone: 787-455-2068