MEDICARE: NATIONAL AMBULANCE

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	TC AMB 91	PR

General Provider Information

NPI Number	:	1952401119
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NATIONAL AMBULANCE

Provider Business Mailing Address
First Line	:	518 CALLE ARNEDO
Second Line	:	URB. VALENCIA
City	:	SAN JUAN
State	:	PR
Zip	:	00923-1845
Country	:	US
Telephone Number	:	787-367-8681
Fax Number	:

Provider Business Practice Location Address
First Line	:	518 CALLE ARNEDO
Second Line	:	URB. VALENCIA
City	:	SAN JUAN
State	:	PR
Zip	:	00923-1845
Country	:	US
Telephone Number	:	787-367-8681
Fax Number	:

Authorized Official
Title or Position	:	ADMIISTRATOR
Name	:	MR. JOSE A. PESANTE
Credential	:
Telephone Number	:	787-367-8681

Provider Enumeration Date	:	09/25/2006
Last Update Date	:	03/26/2010

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Directions to “NATIONAL AMBULANCE ” Practice Location

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