Healthcare Provider Details

I. General information

NPI: 1912956608
Provider Name (Legal Business Name): RAMOS LOPEZ AMBULANCE SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/09/2006
Last Update Date: 02/01/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CALLE FERNANDO LUIS GARCIA 316
UTUADO PR
00641
US

IV. Provider business mailing address

PO BOX 248
LARES PR
00669-0248
US

V. Phone/Fax

Practice location:
  • Phone: 787-814-2802
  • Fax:
Mailing address:
  • Phone: 787-814-2802
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License NumberTC AMB 262
License Number StatePR

VIII. Authorized Official

Name: LUIS A RAMOS - VERA
Title or Position: PRESIDENT
Credential:
Phone: 787-814-2802