Provider Demographics
NPI:1326653874
Name:SEA HUNT AMBULANCE INC
Entity Type:Organization
Organization Name:SEA HUNT AMBULANCE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENTE
Authorized Official - Prefix:
Authorized Official - First Name:NELLY
Authorized Official - Middle Name:E
Authorized Official - Last Name:MAGOBET GONZALEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-320-4273
Mailing Address - Street 1:HC 1 BOX 10360
Mailing Address - Street 2:
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:00612-9737
Mailing Address - Country:US
Mailing Address - Phone:787-320-4273
Mailing Address - Fax:
Practice Address - Street 1:BO ISLOTE SEC PARCELA
Practice Address - Street 2:ISLOTE 2 C/8 CASA 27
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00612
Practice Address - Country:US
Practice Address - Phone:787-320-4273
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-11
Last Update Date:2020-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport