Organization
EMCARA HEALTH OF PUERTO RICO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER CARRIEDO (CREDENTIALING & CONTRACTING)
(800) 793-7050
Entity
Organization
Contact information
Practice address
450 CONSTITUTION AVE, TORRE DE LA REINA SUITE 200, SAN JUAN, PR 00901
(800) 793-7050
Mailing address
113 SEABOARD LN STE 200B, FRANKLIN, TN 37067-8282
(800) 793-7050
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LG0600X
Gerontology Nurse Practitioner
—
—
Other
Enumeration date
05/10/2023
Last updated
06/21/2023
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