MEDICARE: AEI AMBULANCE CORP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3416L0300X	Land Ambulance
2	343900000X	Non-emergency Medical Transport (VAN)	347B00000X	PR

General Provider Information

NPI Number	:	1528212735
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AEI AMBULANCE CORP

Provider Business Mailing Address
First Line	:	497 AVE EMILIANO POL
Second Line	:	PMB 351 LA CUMBRE
City	:	SAN JUAN
State	:	PR
Zip	:	00926-5602
Country	:	US
Telephone Number	:	787-287-5192
Fax Number	:	787-789-0730

Provider Business Practice Location Address
First Line	:	261 AVE EMILIANO POL
Second Line	:	LA CUMBRE
City	:	SAN JUAN
State	:	PR
Zip	:	00926-5539
Country	:	US
Telephone Number	:	787-287-5192
Fax Number	:	787-789-0730

Authorized Official
Title or Position	:	PRESIDENTE
Name	:	MR. ERNESTO RIVERA
Credential	:
Telephone Number	:	787-287-5192

Provider Enumeration Date	:	11/14/2008
Last Update Date	:	10/30/2025

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