Provider Demographics
NPI:1184675894
Name:RODMART AMBULANCE SERVICE INC
Entity Type:Organization
Organization Name:RODMART AMBULANCE SERVICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SILVIO
Authorized Official - Middle Name:DIEGO
Authorized Official - Last Name:REYEZ
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:787-251-4294
Mailing Address - Street 1:225 CALLE AQUAMARINA
Mailing Address - Street 2:URB PARQUE DE ISLA VERDE
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00979-1360
Mailing Address - Country:US
Mailing Address - Phone:787-251-4294
Mailing Address - Fax:787-785-7773
Practice Address - Street 1:CALLE 3
Practice Address - Street 2:SUITE 5B SIERRA BAYAMON
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00959-5183
Practice Address - Country:US
Practice Address - Phone:787-251-4294
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-15
Last Update Date:2008-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR341600000X341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance