Healthcare Provider Details

I. General information

NPI: 1457684458
Provider Name (Legal Business Name): FIRST CALL AMBULANCE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2009
Last Update Date: 09/09/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

(NUEVO #26) CALLE 19 URB. VEVE CALZADA #179
FAJARDO PR
00738
US

IV. Provider business mailing address

BOX 505 PMB 183
SAN LORENZO PR
00754
US

V. Phone/Fax

Practice location:
  • Phone: 787-863-0697
  • Fax:
Mailing address:
  • Phone: 787-863-0697
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number2270105
License Number StatePR
# 2
Primary TaxonomyN
Taxonomy Code343800000X
TaxonomySecured Medical Transport (VAN)
License Number2270105
License Number StatePR
# 3
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number2270105
License Number StatePR
# 4
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number2270105
License Number StatePR
# 5
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number2270105
License Number StatePR

VIII. Authorized Official

Name: DR. JUAN C. RAMOS
Title or Position: VICEPRESIDENT
Credential: MD
Phone: 787-614-5231