Provider Demographics
NPI:1659646552
Name:NESTOR J ORTIZ
Entity Type:Organization
Organization Name:NESTOR J ORTIZ
Other - Org Name:KRISS MEDICAL TRANSPORT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:KRISTOPHER
Authorized Official - Middle Name:O
Authorized Official - Last Name:ORTIZ GONZALEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-560-4206
Mailing Address - Street 1:NUM 47 AVE RIVERA MORALES
Mailing Address - Street 2:
Mailing Address - City:SAN SEBASTIAN
Mailing Address - State:PR
Mailing Address - Zip Code:00685-1722
Mailing Address - Country:US
Mailing Address - Phone:787-560-4206
Mailing Address - Fax:787-551-7104
Practice Address - Street 1:CARR 109 INT 497 KM 0.3 HM 2
Practice Address - Street 2:BO POZAS
Practice Address - City:SAN SEBASTIAN
Practice Address - State:PR
Practice Address - Zip Code:00685-0000
Practice Address - Country:US
Practice Address - Phone:787-560-4206
Practice Address - Fax:787-551-7104
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-12
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport