Daisy Medina Hernandez

Organization Active NPI Land Ambulance · Quebradillas, PR

NPI 1699005991 · NPPES record last updated Jun 2, 2023

Key facts

NPI
1699005991
Entity type
Organization (NPI type 2)
Primary specialty
Land Ambulance 3416L0300X
License
TC AMB 631 (PR)
Legal business name
DAISY MEDINA HERNANDEZ
Practice address
Carr 113 KM 11.8 Int
700 Calle Susano la Salle
Quebradillas, PR 00678-2475
Phone
(787) 210-2463
Fax
(787) 395-7905
NPI assigned
Jan 8, 2010
Organization subpart
No

Authorized official

Name
Daisy Medina Hernandez
Title
Owner
Phone
(787) 210-2463

Medicare participation

Medicare fee-for-service enrollment
Enrolled in PR

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20100514000425 PR Part B Supplier - Ambulance Service Supplier 7517095359 Practice locations: Camuy, PR; Quebradillas, PR

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X TC AMB 631 PR Yes

Addresses

Primary practice location

Carr 113 KM 11.8 Int
700 Calle Susano la Salle
Quebradillas, PR 00678-2475

Mailing address

PO Box 494
Quebradillas, PR 00678-0494
Phone (787) 210-2463

Other practice location 1

Carr # 2 KM 95.4
Marginal Bo. Yeguada
Camuy, PR 00627-0000
Phone (787) 210-2463

Other names

  • MEDCARE EMERGENCY TRANSFER Doing business as

Other providers in Quebradillas, PR

All providers in Quebradillas, PR · Land Ambulance in Puerto Rico

Sources for this page

Verify at the official NPI Registry.