Healthcare Provider Details

I. General information

NPI: 1952401119
Provider Name (Legal Business Name): NATIONAL AMBULANCE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2006
Last Update Date: 03/26/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

518 CALLE ARNEDO URB. VALENCIA
SAN JUAN PR
00923-1845
US

IV. Provider business mailing address

518 CALLE ARNEDO URB. VALENCIA
SAN JUAN PR
00923-1845
US

V. Phone/Fax

Practice location:
  • Phone: 787-367-8681
  • Fax:
Mailing address:
  • Phone: 787-367-8681
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License NumberTC AMB 91
License Number StatePR

VIII. Authorized Official

Name: MR. JOSE A. PESANTE
Title or Position: ADMIISTRATOR
Credential:
Phone: 787-367-8681