Provider Demographics
NPI:1205383403
Name:DELTA EMS CORP.
Entity Type:Organization
Organization Name:DELTA EMS CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:EDGAR
Authorized Official - Middle Name:JOEL
Authorized Official - Last Name:RIVERA PENA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-636-7771
Mailing Address - Street 1:RR1 BOX 11475
Mailing Address - Street 2:
Mailing Address - City:OROCOVIS
Mailing Address - State:PR
Mailing Address - Zip Code:00720
Mailing Address - Country:US
Mailing Address - Phone:787-639-7737
Mailing Address - Fax:
Practice Address - Street 1:41 CALLE MUNOS RIVERA UNIT 550
Practice Address - Street 2:
Practice Address - City:BARRANQUITAS
Practice Address - State:PR
Practice Address - Zip Code:00794-0079
Practice Address - Country:US
Practice Address - Phone:787-636-7771
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-06
Last Update Date:2021-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance