Healthcare Provider Details

I. General information

NPI: 1023534799
Provider Name (Legal Business Name): BEST MEDICAL AMBULANCE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/15/2017
Last Update Date: 06/14/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1273 CARR 848 KM 2.4 BO SAINT JUST
CAROLINA PR
00987
US

IV. Provider business mailing address

1273 CARR 848
TRUJILLO ALTO PR
00976-3278
US

V. Phone/Fax

Practice location:
  • Phone: 787-985-0850
  • Fax: 787-985-0849
Mailing address:
  • Phone: 787-985-0850
  • Fax: 787-985-0849

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License NumberTCAMB-741
License Number StatePR

VIII. Authorized Official

Name: CARMEN A COUVERTIER
Title or Position: PRESIDENT
Credential:
Phone: 787-457-4644