Provider Demographics
NPI:1972777191
Name:PRO CARE PARAMEDIC GROUP, CORP.
Entity Type:Organization
Organization Name:PRO CARE PARAMEDIC GROUP, CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:E
Authorized Official - Last Name:MONTALVO
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:787-519-0050
Mailing Address - Street 1:PO BOX 2992
Mailing Address - Street 2:
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00681-2992
Mailing Address - Country:US
Mailing Address - Phone:787-831-2028
Mailing Address - Fax:
Practice Address - Street 1:501 CALLE MAXIMINO BARBOSA STE 4
Practice Address - Street 2:BO. RIO HONDO
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00680-7104
Practice Address - Country:US
Practice Address - Phone:787-831-2028
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-18
Last Update Date:2008-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport