Healthcare Provider Details

I. General information

NPI: 1831746551
Provider Name (Legal Business Name): ESPARRA AMBULANCE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2019
Last Update Date: 02/08/2024
Certification Date: 02/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR 723 KM 0 HM 8
AIBONITO PR
00705
US

IV. Provider business mailing address

PO BOX 1848
AIBONITO PR
00705-1848
US

V. Phone/Fax

Practice location:
  • Phone: 787-678-6622
  • Fax:
Mailing address:
  • Phone: 787-678-6672
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: MR. JOSE F ESPARRA COLON
Title or Position: PRESIDENTE
Credential:
Phone: 787-678-6672