Provider Demographics
NPI:1003050212
Name:IANN AMBULANCE INC
Entity Type:Organization
Organization Name:IANN AMBULANCE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:OLGA
Authorized Official - Middle Name:
Authorized Official - Last Name:DIAZ-APONTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-857-3876
Mailing Address - Street 1:HC 2 BOX 6468
Mailing Address - Street 2:
Mailing Address - City:BARRANQUITAS
Mailing Address - State:PR
Mailing Address - Zip Code:00794-9703
Mailing Address - Country:US
Mailing Address - Phone:787-857-3876
Mailing Address - Fax:
Practice Address - Street 1:CARR 156 KM 12.0
Practice Address - Street 2:BARRIO PALO HINCADO
Practice Address - City:BARRANQUITAS
Practice Address - State:PR
Practice Address - Zip Code:00794
Practice Address - Country:US
Practice Address - Phone:787-857-3876
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-01
Last Update Date:2009-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport