Healthcare Provider Details
I. General information
NPI: 1184679698
Provider Name (Legal Business Name): METRO AMBULANCE SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/23/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
ROBERTO CLEMENTE 111-2 VILLA CAROLINA
CAROLINA PR
00985
US
IV. Provider business mailing address
PO BOX 3389
GUAYNABO PR
00970-3389
US
V. Phone/Fax
- Phone: 787-750-5207
- Fax: 787-795-8139
- Phone: 787-750-5207
- Fax: 787-795-8139
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 341600000X |
| Taxonomy | Ambulance |
| License Number | TCAMB-381 |
| License Number State | PR |
VIII. Authorized Official
Name: DR.
ORLANDO
ALONSO SANTIAGO
Title or Position: DIRECTOR
Credential:
Phone: 787-750-5207