Provider Demographics
NPI:1427882844
Name:TACTICAL MEDIC RESPOND INC
Entity type:Organization
Organization Name:TACTICAL MEDIC RESPOND INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:YANITZA
Authorized Official - Middle Name:
Authorized Official - Last Name:JIMENEZ MEDINA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-233-9648
Mailing Address - Street 1:PO BOX 851
Mailing Address - Street 2:
Mailing Address - City:MOCA
Mailing Address - State:PR
Mailing Address - Zip Code:00676-0851
Mailing Address - Country:US
Mailing Address - Phone:787-233-9648
Mailing Address - Fax:
Practice Address - Street 1:CARR 111 KM 6.4 BO PUEBLO MOCA
Practice Address - Street 2:
Practice Address - City:MOCA
Practice Address - State:PR
Practice Address - Zip Code:00676
Practice Address - Country:US
Practice Address - Phone:787-233-9648
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-28
Last Update Date:2024-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
No3416L0300XTransportation ServicesAmbulanceLand Transport