Healthcare Provider Details

I. General information

NPI: 1528017134
Provider Name (Legal Business Name): TATOS HEART AMBULANCE SERVICE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/09/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

411 CALLE SOLDADO ALCIDES REYES SAN AGUSTIN
SAN JUAN PR
00923-3214
US

IV. Provider business mailing address

411 CALLE SOLDADO ALCIDES REYES SAN AGUSTIN
SAN JUAN PR
00923-3214
US

V. Phone/Fax

Practice location:
  • Phone: 787-533-3818
  • Fax:
Mailing address:
  • Phone: 787-533-3818
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. EDGARDO VELAZQUEZ
Title or Position: PRESIDENT
Credential:
Phone: 787-533-3818