Provider Demographics
NPI:1154470110
Name:HEALTH MEDICAL AMBULANCE INC
Entity Type:Organization
Organization Name:HEALTH MEDICAL AMBULANCE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVIRAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:MARRERO
Authorized Official - Suffix:
Authorized Official - Credentials:EMT
Authorized Official - Phone:787-884-5054
Mailing Address - Street 1:PO BOX 1046
Mailing Address - Street 2:
Mailing Address - City:MANATI
Mailing Address - State:PR
Mailing Address - Zip Code:00674-1046
Mailing Address - Country:US
Mailing Address - Phone:787-884-5054
Mailing Address - Fax:
Practice Address - Street 1:CARR 616 KM 0 1
Practice Address - Street 2:BO TIERRAS NUEVAS
Practice Address - City:MANATI
Practice Address - State:PR
Practice Address - Zip Code:00674
Practice Address - Country:US
Practice Address - Phone:787-884-5054
Practice Address - Fax:787-854-3270
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-09
Last Update Date:2007-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR22064063416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport