1922239045 NPI number — GMS AMBULANCE SERVICE CORP

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 1922239045 NPI number — GMS AMBULANCE SERVICE CORP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
GMS AMBULANCE SERVICE 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:
1922239045
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/06/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 1892
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
OROCOVIS
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00720-1892
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-207-2509
Provider Business Mailing Address Fax Number:
787-369-7990

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
CARRETERA 569 KM 2.0
Provider Second Line Business Practice Location Address:
BARRIO SABANA
Provider Business Practice Location Address City Name:
OROCOVIS
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00720
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-207-2509
Provider Business Practice Location Address Fax Number:
787-369-7990
Provider Enumeration Date:
08/06/2009

Additional Information

Authorized Official

Authorized Official Last Name:
NEGRON PAGAN
Authorized Official First Name:
WANDA
Authorized Official Middle Name:
ENID
Authorized Official Title or Position:
PRESIDENTA
Authorized Official Telephone Number:
787-207-2509

Provider Taxonomy Codes

  • Taxonomy code: 3416L0300X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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