Healthcare Provider Details
I. General information
NPI: 1225087521
Provider Name (Legal Business Name): PARVEL AMBULANCE SERVICES, CORP.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/06/2006
Last Update Date: 10/19/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1276 CALLE 54 SE URB LA RIVIERA
SAN JUAN PR
00921-3141
US
IV. Provider business mailing address
PO BOX 193789
SAN JUAN PR
00919-3789
US
V. Phone/Fax
- Phone: 787-783-8083
- Fax: 787-783-8085
- Phone: 787-783-8083
- Fax: 787-783-8085
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3416L0300X |
| Taxonomy | Land Ambulance |
| License Number | TC AMB 260 |
| License Number State | PR |
VIII. Authorized Official
Name: DR.
JORGE
PAOLI-BRUNO
Title or Position: PRESIDENT
Credential:
Phone: 787-783-8083