1811949738 NPI number — LIFE EMERGENCY MEDICAL AMBULANCE CORP.

Table of content: (NPI 1811949738)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1811949738 NPI number — LIFE EMERGENCY MEDICAL AMBULANCE CORP.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
LIFE EMERGENCY MEDICAL AMBULANCE 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:
L.E.M.A. E.M.S. CORP.
Provider Other Organization Name Type Code:
5
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:
1811949738
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/29/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
VICTORIA STATION P.O. BOX 38
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:
00605-0038
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-868-5362
Provider Business Mailing Address Fax Number:
787-868-3171

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
CARR. 441 KM 0.7 BO. GUANIQUILLA
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
AGUADA
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00602-9742
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-868-5362
Provider Business Practice Location Address Fax Number:
787-868-3171
Provider Enumeration Date:
05/17/2006

Additional Information

Authorized Official

Authorized Official Last Name:
SANCHEZ
Authorized Official First Name:
ARTURO
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
787-868-5362

Provider Taxonomy Codes

  • Taxonomy code: 3416L0300X , with the licence number:  TC-AMB166 , registered in the state of PR ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 3416L0300X , with the licence number: TC-AMB-166 , 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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