# MOVIMED EMS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740768654
- **Authorized official:** MICHELLE LORENZO (FACTURADORA)
- **Authorized official phone:** (787) 451-4982

## Contact information

- **Practice address:** CARR \#2 KM 137.8 INT BARRIO CERRO GORDO, AGUADA, PR 00602-0060
- **Practice address phone:** (787) 868-0348
- **Mailing address:** HC 59 BOX 6500, AGUADA, PR 00602-9667

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | — | NULL | Yes |

## Other

- **Enumeration date:** 08/02/2018
- **Last updated:** 07/24/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | ========= | — | PR |