# EXECUTIVE MEDICAL SERVICE LLC

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

## Provider details

- **NPI number:** 1992437289
- **Authorized official:** RICARDO MELENDEZ (PRESIDENT)
- **Authorized official phone:** (787) 233-1703

## Contact information

- **Practice address:** URB LAS COLINAS, 5 CALLE 1, VEGA ALTA, PR 00692
- **Practice address phone:** (787) 233-1703
- **Mailing address:** PO BOX 721, VEGA ALTA, PR 00692-0721

## Taxonomy

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

## Other

- **Enumeration date:** 06/27/2022
- **Last updated:** 06/27/2022