Provider Demographics
NPI:1659980860
Name:VITAL EMERGENCY RESPONSE LLC
Entity Type:Organization
Organization Name:VITAL EMERGENCY RESPONSE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND SECRETARY
Authorized Official - Prefix:MR
Authorized Official - First Name:JUAN
Authorized Official - Middle Name:C
Authorized Official - Last Name:RAMOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-479-9494
Mailing Address - Street 1:RR 5 BOX 6224
Mailing Address - Street 2:
Mailing Address - City:ANASCO
Mailing Address - State:PR
Mailing Address - Zip Code:00610-9383
Mailing Address - Country:US
Mailing Address - Phone:787-479-9494
Mailing Address - Fax:787-658-6022
Practice Address - Street 1:STREET 402 KM 2.4 INTERIOR BO QUEBRADA LARGA
Practice Address - Street 2:
Practice Address - City:ANASCO
Practice Address - State:PR
Practice Address - Zip Code:00610
Practice Address - Country:US
Practice Address - Phone:787-479-9494
Practice Address - Fax:787-658-6022
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-24
Last Update Date:2020-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport