IndividualActive
Eliezer Vives Moreno, 0023B
NPI 1568679140 · Basic Emergency Medical Technician · Guaynabo, PR
Provider details
- NPI number
- 1568679140
- Entity type
- Individual
- Primary specialty
- Basic Emergency Medical TechnicianEmergency Medical Service Providers
- Credential
- 0023B
- Sex
- Male
- Sole proprietor
- No
- License
- 0023B (PR)
Specialties & taxonomies
Emergency Medical Service Providers
Practice location
90 Calle San Martin
Guaynabo, PR 00968-1400
Phone: (787) 754-2550
Fax: (787) 781-2063
Mailing address
Po Box 2161
San Juan, PR 00922-2161
Registry dates
- Enumerated
- 2007-05-16
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.