=====================================================
General NPI Number Information
=====================================================
NPI Number | 1215676176
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | MAYMI MEDICAL INDUSTRIES LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/31/2022
-----------------------------------------------------
Last Update Date | 05/31/2022
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | BRISAS DE CEIBA 2 CALLE 9 #335
-----------------------------------------------------
City | CEIBA
-----------------------------------------------------
State | PR
-----------------------------------------------------
Zip | 00735
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 939-439-4701
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | BRISAS DE CEIBA 2 CALLE 9 #335
-----------------------------------------------------
City | CEIBA
-----------------------------------------------------
State | PR
-----------------------------------------------------
Zip | 00735
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 939-439-4701
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | EMILIO MAYMI
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 939-439-4701
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 3416L0300X
-----------------------------------------------------
Taxonomy Name | Land Ambulance
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------