Provider Demographics
NPI:1861135063
Name:PUERTO RICO EMERGENCY MEDICAL SERVICE AND TRANSPORTATION CORP
Entity type:Organization
Organization Name:PUERTO RICO EMERGENCY MEDICAL SERVICE AND TRANSPORTATION CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOSUE
Authorized Official - Middle Name:R
Authorized Official - Last Name:FAMANIA MORALES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-904-0301
Mailing Address - Street 1:PO BOX 448
Mailing Address - Street 2:
Mailing Address - City:SANTA ISABEL
Mailing Address - State:PR
Mailing Address - Zip Code:00757-0448
Mailing Address - Country:US
Mailing Address - Phone:787-904-0301
Mailing Address - Fax:
Practice Address - Street 1:CALLE MIRAMAR 25A
Practice Address - Street 2:PLAYITA CORTADA
Practice Address - City:SANTA ISABEL
Practice Address - State:PR
Practice Address - Zip Code:00757
Practice Address - Country:US
Practice Address - Phone:787-904-0301
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-15
Last Update Date:2023-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)