Invoice Paramedic in Mexico Mexico City –Free Word Template Download with AI
Paramedic Services Mexico City
Av. Insurgentes Sur 1234, Col. Del Valle
Cuauhtémoc, Mexico City, CP 03100
Tel: +52 (55) 1234-5678
Email: [email protected]
RFC: EMS180515XYZ | CURP: EMSP850101HDFRRL09
Invoice Number: INV-MX-2024-0892
Date Issued: January 15, 2024
Due Date: February 15, 2024
Service Date: January 10, 2024
Folio: A-0892
BILL TO:
Hospital Ángeles Pedregal
Attn: Billing Department
Av. Universidad 1000, Col. Pedregal de San Ángel
Álvaro Obregón, Mexico City, CP 01900
RFC: HAP050815ABC
SERVICE DETAILS:
Patient Name: Juan Carlos Mendoza Rivera
Incident Location: Reforma 505, Cuauhtémoc, Mexico City
Transport Destination: Hospital Ángeles Pedregal
Incident Type: Medical Emergency - Cardiac Event
Unit Number: EMS-MX-42
| # | Description of Paramedic Services | Quantity | Unit Price (MXN) | Total (MXN) | SAT Concept |
|---|---|---|---|---|---|
| 1 | Emergency Medical Response Dispatch - Advanced Life Support Paramedic Team deployment within Mexico City metropolitan area | 1 | 2,500.00 | 2,500.00 | 84111503 |
| 2 | On-Scene Advanced Paramedic Assessment and Stabilization - Including cardiac monitoring, IV access, and emergency medication administration | 1 | 4,800.00 | 4,800.00 | 84111503 |
| 3 | Emergency Patient Transport by Ambulance - Advanced Life Support unit from incident location to receiving hospital in Mexico City | 1 | 3,200.00 | 3,200.00 | 84111503 |
| 4 | Continuous In-Transit Paramedic Care - Ongoing monitoring, intervention, and communication with receiving facility | 1 | 2,100.00 | 2,100.00 | 84111503 |
| 5 | Medical Equipment and Supplies Used - Including oxygen, cardiac medications, ECG electrodes, and emergency airway management devices | 1 | 1,850.00 | 1,850.00 | 32311501 |
| 6 | Paramedic Clinical Documentation and Report Preparation - Detailed medical record for hospital transfer and insurance purposes | 1 | 950.00 | 950.00 | 84111503 |
| 7 | After-Hours Emergency Service Surcharge - Service rendered during nighttime hours in accordance with Mexico City emergency service regulations | 1 | 1,200.00 | 1,200.00 | 84111503 |
Amount in words: Nineteen thousand two hundred fifty-six pesos 00/100 M.N.
PAYMENT INSTRUCTIONS:
Bank: BBVA México
Account Name: Emergency Medical Response Services S.A. de C.V.
CLABE: 012180001234567890
Reference: INV-MX-2024-0892
Payment Terms: Net 30 days from invoice date. Late payments subject to 2% monthly interest charge.
Accepted Payment Methods: Bank transfer, certified check, or corporate credit card.
IMPORTANT NOTES AND TERMS:
1. This invoice represents professional paramedic emergency medical services rendered in accordance with the regulations established by the Secretaría de Salud de la Ciudad de México and the Comisión de Servicios Médicos de Urgencia.
2. All paramedic personnel providing these services are certified by the appropriate Mexican health authorities and maintain current credentials for Advanced Life Support (ALS) operations within Mexico City.
3. This document serves as a valid fiscal invoice (Factura Electrónica) compliant with SAT (Servicio de Administración Tributaria) requirements. The CFDI (Comprobante Fiscal Digital por Internet) XML file is available upon request.
4. Payment of this invoice does not constitute admission of liability. All services were rendered as emergency medical care under the standard of care expected of paramedic professionals in Mexico City.
5. Please retain this invoice for your records and for insurance reimbursement purposes. If you have any questions regarding the charges or services provided, please contact our billing department within 15 days of receipt.
6. This invoice is subject to the laws of the United Mexican States and the local regulations of Mexico City. Any disputes shall be resolved in the courts of Mexico City.
COMPANYSTAMP Authorized Signature
Emergency Medical Response Services Received By
Hospital Ángeles Pedregal
Date Received: _______________
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