Organization · NPI-2

Emergency Physician Providers, LLC

Emergency Medicine, Emergency Medical Services · Arecibo, PR

NPI number1245775089
StatusActive
Last updated in NPPESFeb 21, 2017

Details

NPI
1245775089
Entity type
Organization (NPI-2)
Legal business name
Emergency Physician Providers, LLC
Organization subpart
No
Enumeration date
Jan 4, 2017
Last updated
Feb 21, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207PE0004X Emergency Medicine, Emergency Medical Services––Yes

Practice location

55 Calle Palma
Arecibo, PR 00612

Phone 787-436-0727

Mailing address

1500 Fd Roosevelt Ave
Suite 407
Guaynabo, PR 00969

Phone 787-436-0727

Authorized official

Michelle Garcia
Administrative Assistant
7872219494

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