Healthcare Provider Details

I. General information

NPI: 1457681264
Provider Name (Legal Business Name): PRESTIGE HEALTH CARE & EMS SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/30/2009
Last Update Date: 05/20/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 CALLE RIO CIALITOS
VEGA BAJA PR
00693-9847
US

IV. Provider business mailing address

PMB 113 PO BOX 7004
VEGA BAJA PR
00694-9847
US

V. Phone/Fax

Practice location:
  • Phone: 787-921-9226
  • Fax: 787-807-2888
Mailing address:
  • Phone: 787-921-9226
  • Fax: 787-807-2888

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: MR. DENNIS APONTE ROSARIO
Title or Position: CEO
Credential: MBA, EMT-P
Phone: 787-217-5251