Provider Demographics
NPI:1114976800
Name:PRAS PUERTO RICO AMBULANCE SERVICES INC
Entity Type:Organization
Organization Name:PRAS PUERTO RICO AMBULANCE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GIOVANNI
Authorized Official - Middle Name:
Authorized Official - Last Name:SALERNO
Authorized Official - Suffix:
Authorized Official - Credentials:MSN
Authorized Official - Phone:787-752-1019
Mailing Address - Street 1:URB.COUNTRY CLUB 910
Mailing Address - Street 2:AVE.SANCHEZ VILELLA
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00924-2336
Mailing Address - Country:US
Mailing Address - Phone:787-752-1019
Mailing Address - Fax:787-768-2673
Practice Address - Street 1:AVE. CAMPO RICO # 910
Practice Address - Street 2:URB COUNTRY CLUB
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00924-2336
Practice Address - Country:US
Practice Address - Phone:787-752-1019
Practice Address - Fax:787-768-2674
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-09
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PRTC AMB 3413416L0300X
3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR9240093OtherHUMANA REFORMA
PR9004394OtherACAA
PR9500383OtherCRUZ AZUL
PR0056862Medicare ID - Type UnspecifiedAMBULANCE LAND