1467687285 NPI number — EXCLUSIVE AMBULANCE SERVICES INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1467687285 NPI number — EXCLUSIVE AMBULANCE SERVICES INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
EXCLUSIVE 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:
1467687285
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/22/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 71325
Provider Second Line Business Mailing Address:
SUITE 259
Provider Business Mailing Address City Name:
SAN JUAN
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00936
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-486-3225
Provider Business Mailing Address Fax Number:
787-620-4884

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
AVE. 65 INF. KM 2.0
Provider Second Line Business Practice Location Address:
OFICINA 23
Provider Business Practice Location Address City Name:
SAN JUAN
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00924
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-486-3225
Provider Business Practice Location Address Fax Number:
787-486-3225
Provider Enumeration Date:
05/22/2009

Additional Information

Authorized Official

Authorized Official Last Name:
VELEZ
Authorized Official First Name:
IRVING
Authorized Official Middle Name:
J
Authorized Official Title or Position:
MANAGER
Authorized Official Telephone Number:
787-486-3225

Provider Taxonomy Codes

  • Taxonomy code: 3416L0300X , with the licence number:  TC AMB 373 , 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)





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