Provider Demographics
NPI:1003474719
Name:PRIORITY EMERGENCY MEDICAL SERVICES CORPORATION
Entity Type:Organization
Organization Name:PRIORITY EMERGENCY MEDICAL SERVICES CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NESTOR
Authorized Official - Middle Name:A
Authorized Official - Last Name:CRESPO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-315-6056
Mailing Address - Street 1:F18 CALLE LOS ALAMOS
Mailing Address - Street 2:
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00682-6910
Mailing Address - Country:US
Mailing Address - Phone:787-315-6056
Mailing Address - Fax:
Practice Address - Street 1:F18 CALLE LOS ALAMOS
Practice Address - Street 2:
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00682-6910
Practice Address - Country:US
Practice Address - Phone:787-315-6056
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-29
Last Update Date:2023-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No3416S0300XTransportation ServicesAmbulanceWater Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRTC-AMB-775OtherNTSP
PRTC-AMB-775OtherNTSP