Provider Demographics
| NPI: | 1356372510 |
|---|---|
| Name: | CARIBBEAN EMERGENCY MEDICAL SISTEM INC |
| Entity type: | Organization |
| Organization Name: | CARIBBEAN EMERGENCY MEDICAL SISTEM INC |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | DUENO |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | VICTOR |
| Authorized Official - Middle Name: | GARAY |
| Authorized Official - Last Name: | RODRIGUEZ |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 787-373-9909 |
| Mailing Address - Street 1: | E28 CALLE DALIA |
| Mailing Address - Street 2: | |
| Mailing Address - City: | CAROLINA |
| Mailing Address - State: | PR |
| Mailing Address - Zip Code: | 00979-1310 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 787-373-9909 |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | CALLE EUCALIPTO 2-C #39 LOMAS VERDES |
| Practice Address - Street 2: | |
| Practice Address - City: | BAYAMON |
| Practice Address - State: | PR |
| Practice Address - Zip Code: | 00956 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 787-373-9909 |
| Practice Address - Fax: | |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2006-07-06 |
| Last Update Date: | 2020-08-22 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 341600000X | Transportation Services | Ambulance |
Provider Identifiers
| State | Identifier ID | ID Type | Issuer |
|---|---|---|---|
| PR | 59374 | Medicare ID - Type Unspecified |