Healthcare Provider Details

I. General information

NPI: 1558889998
Provider Name (Legal Business Name): MSN AMBULANCE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/06/2017
Last Update Date: 08/23/2024
Certification Date: 08/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

BO. ALGARROBO CARR 2 KM 39.2
VEGA BAJA PR
00693
US

IV. Provider business mailing address

PO BOX 4317
VEGA BAJA PR
00694-4317
US

V. Phone/Fax

Practice location:
  • Phone: 787-883-0124
  • Fax: 787-883-0222
Mailing address:
  • Phone: 787-883-0124
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State

VIII. Authorized Official

Name: DR. FERNANDO A GARCIA
Title or Position: PRESIDENT
Credential: MD
Phone: 787-883-0124