Provider Demographics
NPI:1821753526
Name:SKYMED PRE-HOSPITAL MEDICINE INC
Entity Type:Organization
Organization Name:SKYMED PRE-HOSPITAL MEDICINE INC
Other - Org Name:SKYMED PRE-HOSPITAL MEDICINE INC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENTE
Authorized Official - Prefix:
Authorized Official - First Name:GIZELLE
Authorized Official - Middle Name:W
Authorized Official - Last Name:FLORES ACEVEDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-241-6590
Mailing Address - Street 1:PO BOX 1880
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00960
Mailing Address - Country:US
Mailing Address - Phone:787-241-6590
Mailing Address - Fax:787-777-1577
Practice Address - Street 1:CARR III KM 6.4 LOCAL #105
Practice Address - Street 2:
Practice Address - City:MOCA
Practice Address - State:PR
Practice Address - Zip Code:00676
Practice Address - Country:US
Practice Address - Phone:787-241-6590
Practice Address - Fax:787-777-1577
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-08
Last Update Date:2022-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance