Provider Demographics
NPI:1801534078
Name:NINE ONE ONE PRIVATE RESPONSE
Entity type:Organization
Organization Name:NINE ONE ONE PRIVATE RESPONSE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENTE
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSUE
Authorized Official - Middle Name:
Authorized Official - Last Name:QUINTERO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-400-4475
Mailing Address - Street 1:PO BOX 1880
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00960-1880
Mailing Address - Country:US
Mailing Address - Phone:939-891-9911
Mailing Address - Fax:787-777-1577
Practice Address - Street 1:CARRETERA 65INF KL 3 OFICINA 20
Practice Address - Street 2:SHOPING TUNEL CARCARE
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926
Practice Address - Country:US
Practice Address - Phone:939-891-9911
Practice Address - Fax:787-777-1577
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-26
Last Update Date:2022-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No3416S0300XTransportation ServicesAmbulanceWater Transport