Provider Demographics
NPI:1043488588
Name:UNIVERSAL CARE AMBULANCE INC
Entity Type:Organization
Organization Name:UNIVERSAL CARE AMBULANCE INC
Other - Org Name:JOSE PADILLA FLORES
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:L
Authorized Official - Last Name:PADILLA
Authorized Official - Suffix:
Authorized Official - Credentials:TCAMB525
Authorized Official - Phone:787-640-5938
Mailing Address - Street 1:1303 CALLE DELHI
Mailing Address - Street 2:PUERTO NUEVO
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00920-3734
Mailing Address - Country:US
Mailing Address - Phone:787-745-0342
Mailing Address - Fax:787-745-0342
Practice Address - Street 1:1303 CALLE DELHI
Practice Address - Street 2:PUERTO NUEVO
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00920-3734
Practice Address - Country:US
Practice Address - Phone:787-745-0342
Practice Address - Fax:787-745-0342
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-19
Last Update Date:2008-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PRTCAMB525341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance