1982630745 NPI number — ANGEL ALERS

Table of content: (NPI 1982630745)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1982630745 NPI number — ANGEL ALERS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ANGEL ALERS
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:
A A AMBULANCE SERVICE
Provider Other Organization Name Type Code:
3
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:
1982630745
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 5195
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
AGUADILLA
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00605-5195
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-882-5935
Provider Business Mailing Address Fax Number:
787-882-5935

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
BDA. CABAN # 39
Provider Second Line Business Practice Location Address:
CALLE TUNEL
Provider Business Practice Location Address City Name:
AGUADILLA
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00603
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-882-5935
Provider Business Practice Location Address Fax Number:
787-882-5935
Provider Enumeration Date:
06/24/2006

Additional Information

Authorized Official

Authorized Official Last Name:
ALERS
Authorized Official First Name:
ANGEL
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
787-224-8241

Provider Taxonomy Codes

  • Taxonomy code: 3416L0300X , with the licence number:  TCAMB202 , 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: 890459 . This is a "MMM" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 991015 . This is a "PMC" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".




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