Healthcare Provider Details

I. General information

NPI: 1952226474
Provider Name (Legal Business Name): ABC AMBULANCE TRANSPORT CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

URB SAN FERNANDO CALLE7 E21 URB SAN FERNANDO CALLE7 E21
TOA ALTA PR
00953
US

IV. Provider business mailing address

URB SAN FERNANDO CALLE7 E21 URB SAN FERNANDO CALLE7 E21
TOA ALTA PR
00953
US

V. Phone/Fax

Practice location:
  • Phone: 939-331-3434
  • Fax:
Mailing address:
  • Phone: 787-368-3001
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: MRS. MARIBEL CALDERON
Title or Position: PRESIDENTA
Credential:
Phone: 787-368-3001