Healthcare Provider Details

I. General information

NPI: 1043488588
Provider Name (Legal Business Name): UNIVERSAL CARE AMBULANCE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/19/2008
Last Update Date: 02/19/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1303 CALLE DELHI PUERTO NUEVO
SAN JUAN PR
00920-3734
US

IV. Provider business mailing address

1303 CALLE DELHI PUERTO NUEVO
SAN JUAN PR
00920-3734
US

V. Phone/Fax

Practice location:
  • Phone: 787-745-0342
  • Fax: 787-745-0342
Mailing address:
  • Phone: 787-745-0342
  • Fax: 787-745-0342

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License NumberTCAMB525
License Number StatePR

VIII. Authorized Official

Name: MR. JOSE L PADILLA
Title or Position: PRESIDENT
Credential: TCAMB525
Phone: 787-640-5938