Provider Demographics
NPI:1346215191
Name:MEDICAL AMBULANCE SERVICES INC
Entity Type:Organization
Organization Name:MEDICAL AMBULANCE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DIONIS
Authorized Official - Middle Name:JOSE
Authorized Official - Last Name:GONZALEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-767-1548
Mailing Address - Street 1:591 CALLE DE DIEGO
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00924-3802
Mailing Address - Country:US
Mailing Address - Phone:787-767-1548
Mailing Address - Fax:787-281-8322
Practice Address - Street 1:591 CALLE DE DIEGO
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00924-3802
Practice Address - Country:US
Practice Address - Phone:787-767-1548
Practice Address - Fax:787-281-8322
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PRTCAMB4003416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0053504Medicare ID - Type UnspecifiedAMBULANCE LAND TRANSPORT