Provider Demographics
NPI:1801020888
Name:ARECIBO MEDICAL EMERGENCIES INC
Entity Type:Organization
Organization Name:ARECIBO MEDICAL EMERGENCIES INC
Other - Org Name:ARECIBO MEDICAL EMERGENCIES INC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SAMUEL
Authorized Official - Middle Name:RIVERA
Authorized Official - Last Name:NATAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-879-5704
Mailing Address - Street 1:PO BOX 9975
Mailing Address - Street 2:
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:00613-9975
Mailing Address - Country:US
Mailing Address - Phone:787-879-5704
Mailing Address - Fax:787-879-5704
Practice Address - Street 1:CALLE 129
Practice Address - Street 2:SALA EMERGENCIA HOSP CAYETANO COLL Y TOSTE
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00612
Practice Address - Country:US
Practice Address - Phone:787-817-3759
Practice Address - Fax:787-817-3759
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-06
Last Update Date:2009-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5972146D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes146D00000XEmergency Medical Service ProvidersPersonal Emergency Response AttendantGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR181422OtherREGISTRO DEPARTAMENTO DEL ESTADO
PR=========OtherSS PATRONAL