Provider Demographics
NPI:1215101449
Name:MEDICAL EMERGENCY RESPONSE SYSTEM
Entity type:Organization
Organization Name:MEDICAL EMERGENCY RESPONSE SYSTEM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REPRESENTATIVE/SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:GILBERTO
Authorized Official - Middle Name:
Authorized Official - Last Name:HERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-385-1728
Mailing Address - Street 1:PO BOX 1445
Mailing Address - Street 2:
Mailing Address - City:QUEBRADILLAS
Mailing Address - State:PR
Mailing Address - Zip Code:00678-1445
Mailing Address - Country:US
Mailing Address - Phone:787-385-1728
Mailing Address - Fax:787-868-0395
Practice Address - Street 1:113 STREET KM 12.2 INT. SECTOR LA ROMANA BO. CACAO
Practice Address - Street 2:
Practice Address - City:QUEBRADIILAS
Practice Address - State:PR
Practice Address - Zip Code:00678
Practice Address - Country:US
Practice Address - Phone:787-385-1728
Practice Address - Fax:787-868-0395
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-18
Last Update Date:2013-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PRTC AMB 5303416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport