Provider Demographics
NPI:1275689069
Name:WILLIAM COLON VILLANUEVA HNC COLON AMBULANCE SERVICE
Entity Type:Organization
Organization Name:WILLIAM COLON VILLANUEVA HNC COLON AMBULANCE SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROPIETARIO
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:COLON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-882-6566
Mailing Address - Street 1:BARRIADA CABAN CALLE QUITERIO GONZALEZ
Mailing Address - Street 2:BUZON 1340
Mailing Address - City:AGUADILLA
Mailing Address - State:PR
Mailing Address - Zip Code:00603
Mailing Address - Country:US
Mailing Address - Phone:787-692-2698
Mailing Address - Fax:787-882-6566
Practice Address - Street 1:BARRIADA CABAN CALLE QUITERIO GONZALEZ
Practice Address - Street 2:BUZON 1340
Practice Address - City:AGUADILLA
Practice Address - State:PR
Practice Address - Zip Code:00603
Practice Address - Country:US
Practice Address - Phone:787-692-2698
Practice Address - Fax:787-882-6566
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PRTCAMB-4363416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport