=====================================================
General NPI Number Information
=====================================================
NPI Number | 1023808623
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | TRANSFER AMBULANCE LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/08/2025
-----------------------------------------------------
Last Update Date | 12/04/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | CARR 663 KM 5.8 BARRIO MIRAFLORES SECTOR ESPINO
-----------------------------------------------------
City | SABANA HOYOS
-----------------------------------------------------
State | PR
-----------------------------------------------------
Zip | 00612
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 939-270-3131
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | HC 2 BOX 4883
-----------------------------------------------------
City | SABANA HOYOS
-----------------------------------------------------
State | PR
-----------------------------------------------------
Zip | 00688-9505
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | MR. JOMAR REYES
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 939-270-3131
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 341600000X
-----------------------------------------------------
Taxonomy Name | Ambulance
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------