1114240082 NPI number — PADIN AMBULANCE SERVICES INC

Table of content: (NPI 1114240082)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1114240082 NPI number — PADIN AMBULANCE SERVICES INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PADIN AMBULANCE SERVICES INC
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:
1114240082
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/01/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
CALLE SOCORRO
Provider Second Line Business Mailing Address:
90
Provider Business Mailing Address City Name:
QUEBRADILLAS
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00678-1813
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-895-6662
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
AVE MABODOMACA BO TERRANOVA
Provider Second Line Business Practice Location Address:
CARR 113 KM 9.7
Provider Business Practice Location Address City Name:
QUEBRADILLAS
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00678
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-895-6662
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/08/2010

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
PADIN
Authorized Official First Name:
EDUARDO
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENTE
Authorized Official Telephone Number:
787-895-6662

Provider Taxonomy Codes

  • Taxonomy code: 3416L0300X , with the licence number:  TCAMB649 , 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)