Organization
PABLO A GOMEZ CORTES
Active
Other names
Medstar EMS
Organization subpart
No
Provider details
NPI number
Authorized official
PABLO A GOMEZ CORTES (OWNER)
(787) 617-9110
Entity
Organization
Contact information
Practice address
CARR 467, KM. 4.4 INT., BO. CAMASEYES, AGUADILLA, PR 00603
(787) 617-9110
(787) 818-0429
Mailing address
137 CALLE HARRISON, AGUADILLA, PR 00603-1503
(787) 617-9110
(787) 890-0724
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
TC AMB 411
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50749
PMC
PR
01
—
8341
AMERICAN HEALTH MEDICARE
PR
01
—
89067
MMM
PR
Enumeration date
05/11/2007
Last updated
10/26/2009
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