Provider Demographics
NPI:1073568598
Name:DWN EMERGENCY CALL AMBULANCE
Entity Type:Organization
Organization Name:DWN EMERGENCY CALL AMBULANCE
Other - Org Name:DOUGLAS E. WHITE NEGRON DBA EMERGENCY CALL AMBULANCE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-776-2838
Mailing Address - Street 1:PO BOX 11042
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00910-2142
Mailing Address - Country:US
Mailing Address - Phone:787-776-2838
Mailing Address - Fax:787-776-2839
Practice Address - Street 1:CARR. 848 KM. 3.5 SANT JUST
Practice Address - Street 2:
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00987
Practice Address - Country:US
Practice Address - Phone:787-776-2838
Practice Address - Fax:787-776-2839
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-23
Last Update Date:2007-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PRTCAMB1333416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0059283Medicare ID - Type UnspecifiedAMBULANCE