1548495617 NPI number — REVOLUTION PARAMEDIC AMBULANCE SYSTEMS, CORP

Table of content: (NPI 1548495617)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1548495617 NPI number — REVOLUTION PARAMEDIC AMBULANCE SYSTEMS, CORP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
REVOLUTION PARAMEDIC AMBULANCE SYSTEMS, 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:
1548495617
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/19/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 460
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BARRANQUITAS
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00794-0460
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
CARR 156 RAMAL 771 KM 7.9
Provider Second Line Business Practice Location Address:
BO BARRANCAS
Provider Business Practice Location Address City Name:
BARRANQUITAS
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00794-0000
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-857-2817
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/19/2009

Additional Information

Authorized Official

Authorized Official Last Name:
APONTE-VAZQUEZ
Authorized Official First Name:
ELBA
Authorized Official Middle Name:
I
Authorized Official Title or Position:
PRESIDENTA
Authorized Official Telephone Number:
787-857-2817

Provider Taxonomy Codes

  • Taxonomy code: 3416L0300X , with the licence number:  TC AMB 589 , 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: TC AMB 589 . This is a "COMISION DE SERVICIO PUBLICO" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com