Provider Demographics
NPI:1629839352
Name:UNITED EMS MAYAGUEZ
Entity Type:Organization
Organization Name:UNITED EMS MAYAGUEZ
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENTE
Authorized Official - Prefix:
Authorized Official - First Name:JARRELYS
Authorized Official - Middle Name:
Authorized Official - Last Name:COLON MATOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-536-8909
Mailing Address - Street 1:CERRO GORDO KM 1.9 CARR 840
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00956
Mailing Address - Country:US
Mailing Address - Phone:787-241-6590
Mailing Address - Fax:787-777-1577
Practice Address - Street 1:CERRO GORDO KM 1.9 CARR 840
Practice Address - Street 2:
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00956
Practice Address - Country:US
Practice Address - Phone:787-536-8909
Practice Address - Fax:787-777-1577
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-19
Last Update Date:2024-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance