Healthcare Provider Details

I. General information

NPI: 1114976800
Provider Name (Legal Business Name): PRAS PUERTO RICO AMBULANCE SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/09/2006
Last Update Date: 03/07/2023
Certification Date: 03/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

AVE. CAMPO RICO # 910 URB COUNTRY CLUB
SAN JUAN PR
00924-2336
US

IV. Provider business mailing address

URB.COUNTRY CLUB 910 AVE.SANCHEZ VILELLA
SAN JUAN PR
00924-2336
US

V. Phone/Fax

Practice location:
  • Phone: 787-752-1019
  • Fax: 787-768-2674
Mailing address:
  • Phone: 787-752-1019
  • Fax: 787-768-2673

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License NumberTC AMB 341
License Number StatePR

VIII. Authorized Official

Name: GIOVANNI SALERNO
Title or Position: PRESIDENT
Credential: MSN
Phone: 787-752-1019