Provider Demographics
NPI:1609556802
Name:ORTIZ EMERGENCY RESPONSE LCC
Entity Type:Organization
Organization Name:ORTIZ EMERGENCY RESPONSE LCC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENTE
Authorized Official - Prefix:MR
Authorized Official - First Name:EDGARDO
Authorized Official - Middle Name:ORTIZ
Authorized Official - Last Name:HERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:939-418-1278
Mailing Address - Street 1:HC 01 BOX 311
Mailing Address - Street 2:
Mailing Address - City:COROZAL
Mailing Address - State:PR
Mailing Address - Zip Code:00783
Mailing Address - Country:US
Mailing Address - Phone:939-418-1278
Mailing Address - Fax:
Practice Address - Street 1:CARR 891 KM 1.7 PLAZA DEL CARMEN MALL
Practice Address - Street 2:EDIF ANEXO 101 BO PUEBLO
Practice Address - City:COROZAL
Practice Address - State:PR
Practice Address - Zip Code:00783
Practice Address - Country:US
Practice Address - Phone:939-418-1278
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ORTIZ EMERGENCY RESPONSE LCC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-07-21
Last Update Date:2023-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport