=====================================================
General NPI Number Information
=====================================================
NPI Number | 1205884855
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | A PLUS AMBULANCE SERVICES INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/05/2006
-----------------------------------------------------
Last Update Date | 04/20/2023
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 667 CALLE LA PAZ
-----------------------------------------------------
City | SAN JUAN
-----------------------------------------------------
State | PR
-----------------------------------------------------
Zip | 00907-3508
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 787-721-3443
-----------------------------------------------------
Fax | 787-723-9948
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 667 CALLE LA PAZ
-----------------------------------------------------
City | SAN JUAN
-----------------------------------------------------
State | PR
-----------------------------------------------------
Zip | 00907-3508
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 787-721-3443
-----------------------------------------------------
Fax | 787-723-9948
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | VICTOR MORALES
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 787-721-3443
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 3416L0300X
-----------------------------------------------------
Taxonomy Name | Land Ambulance
-----------------------------------------------------
License Number | TC AMB 342
-----------------------------------------------------
License Number State | PR
-----------------------------------------------------