Healthcare Provider Details
I. General information
NPI: 1275623431
Provider Name (Legal Business Name): METROAID AMBULANCE SERVICE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/16/2006
Last Update Date: 01/02/2017
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
24 AVE CEMENTERIO NACIONAL W HATO TEJAS
BAYAMON PR
00961-3869
US
IV. Provider business mailing address
PO BOX 1880
BAYAMON PR
00960-1880
US
V. Phone/Fax
- Phone: 787-960-9647
- Fax: 787-777-1577
- Phone: 787-960-9647
- Fax: 787-777-1577
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3416L0300X |
| Taxonomy | Land Ambulance |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
JOSUE
N.
QUINTERO
SR.
Title or Position: ADMINISTRATOR
Credential:
Phone: 787-960-9647