Provider Demographics
NPI:1841813607
Name:SPECIAL TACTICS AND RESCUE SERVICES CORP
Entity type:Organization
Organization Name:SPECIAL TACTICS AND RESCUE SERVICES CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JEAN
Authorized Official - Middle Name:C
Authorized Official - Last Name:CASTRERO
Authorized Official - Suffix:
Authorized Official - Credentials:EMT
Authorized Official - Phone:787-840-4190
Mailing Address - Street 1:6020 AMALIA MARIN
Mailing Address - Street 2:TRUCHA
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00716
Mailing Address - Country:US
Mailing Address - Phone:787-842-4328
Mailing Address - Fax:787-842-4328
Practice Address - Street 1:1530 AVE EDUARDO RUBERTE
Practice Address - Street 2:
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00716-0604
Practice Address - Country:US
Practice Address - Phone:787-840-4190
Practice Address - Fax:787-842-4328
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-27
Last Update Date:2021-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333300000XSuppliersEmergency Response System Companies
No251B00000XAgenciesCase Management
No251K00000XAgenciesPublic Health or Welfare
No251V00000XAgenciesVoluntary or Charitable
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR44265OtherALL COMERCIAL PLANS