Provider Demographics
NPI:1225087521
Name:PARVEL AMBULANCE SERVICES, CORP.
Entity Type:Organization
Organization Name:PARVEL AMBULANCE SERVICES, CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:PAOLI-BRUNO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-783-8083
Mailing Address - Street 1:PO BOX 193789
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00919-3789
Mailing Address - Country:US
Mailing Address - Phone:787-783-8083
Mailing Address - Fax:787-783-8085
Practice Address - Street 1:1276 CALLE 54 SE
Practice Address - Street 2:URB LA RIVIERA
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00921-3141
Practice Address - Country:US
Practice Address - Phone:787-783-8083
Practice Address - Fax:787-783-8085
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-06
Last Update Date:2009-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PRTC AMB 2603416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0053467Medicare PIN