Provider Demographics
NPI:1013880509
Name:PRIME RESPONSE CRITICAL CARE CORP
Entity type:Organization
Organization Name:PRIME RESPONSE CRITICAL CARE CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JUNIOR
Authorized Official - Middle Name:J
Authorized Official - Last Name:MATOS PAGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-904-9404
Mailing Address - Street 1:URB PASEOS REALES CALLE HIDALGO 595
Mailing Address - Street 2:
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:78790-4940
Mailing Address - Country:US
Mailing Address - Phone:787-904-9404
Mailing Address - Fax:787-904-9404
Practice Address - Street 1:SUITE 7 CARR 140 KM 62.5 BO MAGUEYES
Practice Address - Street 2:
Practice Address - City:BARCELONETA
Practice Address - State:PR
Practice Address - Zip Code:78790-4940
Practice Address - Country:US
Practice Address - Phone:787-904-9404
Practice Address - Fax:787-904-9404
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-29
Last Update Date:2025-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport