David A. Miramontes, MD, FACEP, NREMTP currently supervises all EMS Medical Care, Training, Quality Assurance, Continuing Education San Antonio Fire Department. He completed his Medical Degree at the Medical College of Ohio and residency at Mercy St. Vincent Medical Center in Toledo, Ohio. Dr. Miramontes has a long career in EMS as an EMT, Medic, Firefighter ER and ICU RN and Lifeflight Physician. He has been an EMS Medical director in the Metro Toledo OH, Washington DC Fire-EMS He also served in NDMS as Regional Deputy Chief Medical Officer and Team Commander of the OHIO 1 DMAT team.