Healthcare Provider Details

I. General information

NPI: 1992773923
Provider Name (Legal Business Name): SUAR-MED AMBULANCE SERVICE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/08/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

STREET -924 KM 2.0 BARRIO COLLORES SEC. PITAHAYA
HUMACAO PR
00791
US

IV. Provider business mailing address

PO BOX 218
JUNCOS PR
00777-0218
US

V. Phone/Fax

Practice location:
  • Phone: 787-285-0835
  • Fax: 787-285-0835
Mailing address:
  • Phone: 787-285-0835
  • Fax: 787-285-0835

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number StatePR

VIII. Authorized Official

Name: MRS. MIRIAN SUAREZ
Title or Position: PRESIDENTA
Credential: ETC.
Phone: 787-285-0835