Healthcare Provider Details

I. General information

NPI: 1861135063
Provider Name (Legal Business Name): PUERTO RICO EMERGENCY MEDICAL SERVICE AND TRANSPORTATION CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/15/2022
Last Update Date: 01/29/2023
Certification Date: 01/29/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CALLE MIRAMAR 25A PLAYITA CORTADA
SANTA ISABEL PR
00757
US

IV. Provider business mailing address

PO BOX 448
SANTA ISABEL PR
00757-0448
US

V. Phone/Fax

Practice location:
  • Phone: 787-904-0301
  • Fax:
Mailing address:
  • Phone: 787-904-0301
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: JOSUE R FAMANIA MORALES
Title or Position: PRESIDENT
Credential:
Phone: 787-904-0301