Healthcare Provider Details

I. General information

NPI: 1801563085
Provider Name (Legal Business Name): QUALITY CRITICAL CARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2021
Last Update Date: 08/26/2021
Certification Date: 08/26/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26 CALLE CONFESOR JIMENEZ
SAN SEBASTIAN PR
00685-1759
US

IV. Provider business mailing address

26 CALLE CONFESOR JIMENEZ
SAN SEBASTIAN PR
00685-1759
US

V. Phone/Fax

Practice location:
  • Phone: 787-207-9801
  • Fax:
Mailing address:
  • Phone: 787-207-9801
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: MR. MIGUEL A MONTALVO
Title or Position: OWNER
Credential:
Phone: 787-207-9801