Provider Demographics
NPI:1093724544
Name:AMBULANCIAS DE EMERGENCIAS INC (A.E.I.)
Entity Type:Organization
Organization Name:AMBULANCIAS DE EMERGENCIAS INC (A.E.I.)
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ERNESTO
Authorized Official - Middle Name:
Authorized Official - Last Name:RIVERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-287-5192
Mailing Address - Street 1:AVE.EMILIANO POL#497
Mailing Address - Street 2:SUITE 351 LA CUMBRE
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-5636
Mailing Address - Country:US
Mailing Address - Phone:787-287-5192
Mailing Address - Fax:787-789-0730
Practice Address - Street 1:AVE. EMILIANO POL #261
Practice Address - Street 2:LA CUMBRE
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926-5636
Practice Address - Country:US
Practice Address - Phone:787-287-5192
Practice Address - Fax:787-789-0730
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-05
Last Update Date:2007-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR59066Medicare ID - Type UnspecifiedAMBULANCE SERVICE