Provider Demographics
NPI:1346299039
Name:TROPICAL AMBULANCE SERVICE
Entity Type:Organization
Organization Name:TROPICAL AMBULANCE SERVICE
Other - Org Name:OMAR J AVILES HERNANDEZ
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:OMAR
Authorized Official - Middle Name:J
Authorized Official - Last Name:AVILES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-877-6218
Mailing Address - Street 1:PO BOX 196
Mailing Address - Street 2:
Mailing Address - City:MOCA
Mailing Address - State:PR
Mailing Address - Zip Code:00676-0196
Mailing Address - Country:US
Mailing Address - Phone:787-877-6218
Mailing Address - Fax:787-877-6274
Practice Address - Street 1:CARR 111 KM 6.3 BO PUEBLO
Practice Address - Street 2:
Practice Address - City:MOCA
Practice Address - State:PR
Practice Address - Zip Code:00676
Practice Address - Country:US
Practice Address - Phone:787-877-6218
Practice Address - Fax:787-877-6274
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-09
Last Update Date:2009-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PRTC AMB 2243416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0050014Medicare PIN