Healthcare Provider Details

I. General information

NPI: 1346169885
Provider Name (Legal Business Name): MIKE AMBULANCE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2026
Last Update Date: 07/10/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

BDA COREA 407 CALLE FRANCISCA RODRIGUEZ
VEGA ALTA PR
00692-8066
US

IV. Provider business mailing address

BDA COREA 407 CALLE FRANCISCA RODRIGUEZ
VEGA ALTA PR
00692-8066
US

V. Phone/Fax

Practice location:
  • Phone: 787-216-8055
  • Fax:
Mailing address:
  • Phone: 787-216-8055
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL EDUARD ADORNO ADORNO
Title or Position: PRESIDENT
Credential: EMT
Phone: 787-216-8055