Provider Demographics
NPI:1366451346
Name:BETTOS AMBULANCE SERVICES, INC.
Entity Type:Organization
Organization Name:BETTOS AMBULANCE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:LUIS
Authorized Official - Middle Name:A
Authorized Official - Last Name:VAZQUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-892-5310
Mailing Address - Street 1:197 CALLE TOPACIO
Mailing Address - Street 2:PUEBLO NUEVO
Mailing Address - City:SAN GERMAN
Mailing Address - State:PR
Mailing Address - Zip Code:00683-4399
Mailing Address - Country:US
Mailing Address - Phone:787-892-5310
Mailing Address - Fax:787-892-2127
Practice Address - Street 1:197 CALLE TOPACIO
Practice Address - Street 2:PUEBLO NUEVO
Practice Address - City:SAN GERMAN
Practice Address - State:PR
Practice Address - Zip Code:00683-4399
Practice Address - Country:US
Practice Address - Phone:787-892-5310
Practice Address - Fax:787-892-2127
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-07
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PRAMB 3753416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR890440OtherMEDICARE Y MUCHO MS
PR890440OtherMEDICARE Y MUCHO MAS
PR009003754OtherACAA
PR0050077OtherPREFERRED MEDICARE CHOICE
PR009003754OtherACAA
PR009003754OtherACAA