Healthcare Provider Details

I. General information

NPI: 1962677609
Provider Name (Legal Business Name): YARIEL AMBULANCE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2008
Last Update Date: 04/24/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR 7722 KM 5 6 RUTA PANORAMICA APT 622
AIBONITO PR
00705
US

IV. Provider business mailing address

CARR 7722 KM 5 6 RUTA PANORAMICA PO BOX 622
AIBONITO PR
00705
US

V. Phone/Fax

Practice location:
  • Phone: 787-449-7803
  • Fax: 787-735-7129
Mailing address:
  • Phone: 787-449-7803
  • Fax: 787-735-7129

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MRS. YARIMAR VARGAS
Title or Position: PRESIDENTE
Credential:
Phone: 787-449-7803