Healthcare Provider Details

I. General information

NPI: 1538324124
Provider Name (Legal Business Name): QUINONES AMBULANCE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2008
Last Update Date: 07/23/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

COTTO LAUREL CALLE CENTRAL 19 CARR 14 KM 8.4
PONCE PR
00780-0000
US

IV. Provider business mailing address

CALLE AURORA 3930 APTO 304
PONCE PR
00717-3930
US

V. Phone/Fax

Practice location:
  • Phone: 787-672-1862
  • Fax: 787-820-3198
Mailing address:
  • Phone: 787-672-1862
  • Fax: 787-820-3198

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State

VIII. Authorized Official

Name: MRS. LUIS O QUINONEZ CASTRO
Title or Position: PRESIDENT
Credential:
Phone: 787-672-1862