Healthcare Provider Details

I. General information

NPI: 1801534078
Provider Name (Legal Business Name): NINE ONE ONE PRIVATE RESPONSE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2022
Last Update Date: 05/26/2022
Certification Date: 05/10/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARRETERA 65INF KL 3 OFICINA 20 SHOPING TUNEL CARCARE
SAN JUAN PR
00926
US

IV. Provider business mailing address

PO BOX 1880
BAYAMON PR
00960-1880
US

V. Phone/Fax

Practice location:
  • Phone: 939-891-9911
  • Fax: 787-777-1577
Mailing address:
  • Phone: 939-891-9911
  • Fax: 787-777-1577

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3416S0300X
TaxonomyWater Ambulance
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: MR. JOSUE QUINTERO
Title or Position: PRESIDENTE
Credential:
Phone: 787-400-4475