Provider Demographics
NPI:1225850548
Name:PROFESSIONAL CARE EMS
Entity type:Organization
Organization Name:PROFESSIONAL CARE EMS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:OSCAR
Authorized Official - Middle Name:J
Authorized Official - Last Name:RIVERA RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:939-459-0120
Mailing Address - Street 1:176 MARMOL
Mailing Address - Street 2:PASEO DE SANTA BARBARA
Mailing Address - City:GURABO
Mailing Address - State:PR
Mailing Address - Zip Code:00778-5137
Mailing Address - Country:US
Mailing Address - Phone:939-459-0120
Mailing Address - Fax:
Practice Address - Street 1:176 MARMOL
Practice Address - Street 2:PASEO DE SANTA BARBARA
Practice Address - City:GURABO
Practice Address - State:PR
Practice Address - Zip Code:00778-5137
Practice Address - Country:US
Practice Address - Phone:939-459-0120
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-28
Last Update Date:2024-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport