1487695565 NPI number — AMBULANCIAS DEL ESTE, CORP.

Table of content: (NPI 1487695565)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1487695565 NPI number — AMBULANCIAS DEL ESTE, CORP.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
AMBULANCIAS DEL ESTE, CORP.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1487695565
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/20/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
90 AVE RIO HONDO
Provider Second Line Business Mailing Address:
PMB SUITE 184 PLAZA RIO HONDO
Provider Business Mailing Address City Name:
BAYAMON
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00961-3105
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-850-2323
Provider Business Mailing Address Fax Number:
787-850-2345

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
CARRETERA # 3 KM. 87.5
Provider Second Line Business Practice Location Address:
CANDELERO ARRIBA
Provider Business Practice Location Address City Name:
HUMACAO
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00791
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-850-2323
Provider Business Practice Location Address Fax Number:
787-850-2345
Provider Enumeration Date:
06/09/2006

Additional Information

Authorized Official

Authorized Official Last Name:
APONTE
Authorized Official First Name:
SYLVIA
Authorized Official Middle Name:
L.
Authorized Official Title or Position:
ADMINISTRADORA
Authorized Official Telephone Number:
787-850-2323

Provider Taxonomy Codes

  • Taxonomy code: 3416L0300X , with the licence number:  3416L0300X , registered in the state of PR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 890498 . This is a "MEDICARE Y MUCHO MAS" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 8100090 . This is a "HUMANA HEALTH PLANS OF PR" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 50495 . This is a "PREFERED MEDICARE CHOICE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




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