Healthcare Provider Details

I. General information

NPI: 1205503364
Provider Name (Legal Business Name): UNITED AMBULANCE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2021
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARETERA 148 CHAPALA
CHAPALA JALISCO
45920
MX

IV. Provider business mailing address

500 WESTOVER DR # 11474
SANFORD NC
27330-8941
US

V. Phone/Fax

Practice location:
  • Phone: 331-071-5051
  • Fax:
Mailing address:
  • Phone: 188-449-7799
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State

VIII. Authorized Official

Name: DR. JAVIER EZQUERRA EZQUERRA
Title or Position: MANAGER
Credential: DR
Phone: 188-449-7799