Provider Demographics
NPI:1326091505
Name:RESCUE AMBULANCE SERVICES INC
Entity Type:Organization
Organization Name:RESCUE AMBULANCE SERVICES INC
Other - Org Name:RESCUE AMBULANCE SERVICES INC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ANSELMO
Authorized Official - Middle Name:
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-292-3360
Mailing Address - Street 1:PO BOX 4985
Mailing Address - Street 2:SUITE 233
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00726-4985
Mailing Address - Country:US
Mailing Address - Phone:787-292-3360
Mailing Address - Fax:787-748-4782
Practice Address - Street 1:CARR 844 KM 1 HM 9
Practice Address - Street 2:BO CUPEY BAJO
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926
Practice Address - Country:US
Practice Address - Phone:787-292-3360
Practice Address - Fax:787-748-4782
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PRTCAMB203416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0059265Medicare ID - Type UnspecifiedAMBULANCE SERVICE