Healthcare Provider Details

I. General information

NPI: 1376846212
Provider Name (Legal Business Name): CARDONAS AMBULANCE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2010
Last Update Date: 12/15/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

TOMAS DAVILA ST. LOCAL #1
BARCELONETA PR
00617
US

IV. Provider business mailing address

PO BOX 339
BARCELONETA PR
00617-0339
US

V. Phone/Fax

Practice location:
  • Phone: 787-515-6910
  • Fax: 787-846-4848
Mailing address:
  • Phone: 787-515-6910
  • Fax: 787-846-4848

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MISS MIGDALIA CARDONA
Title or Position: PRESIDENT
Credential: TMC
Phone: 787-515-6910