Provider Demographics
NPI:1265696009
Name:MASETER MEDICEMERENCY SERVICES INC.
Entity type:Organization
Organization Name:MASETER MEDICEMERENCY SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NILDA
Authorized Official - Middle Name:AILEEN
Authorized Official - Last Name:PEREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:939-645-0768
Mailing Address - Street 1:PO BOX 6399
Mailing Address - Street 2:CALLE 9 L-9 URBANIZACION REXVILLE
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00960-5399
Mailing Address - Country:US
Mailing Address - Phone:939-645-0768
Mailing Address - Fax:787-730-4584
Practice Address - Street 1:CALLE 9 L-9 URBANIZACION REXVILLE
Practice Address - Street 2:L-9
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00960-5399
Practice Address - Country:US
Practice Address - Phone:939-645-0768
Practice Address - Fax:787-730-4584
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-10
Last Update Date:2008-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PRTC-AMB-484341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance