Provider Demographics
NPI:1376711531
Name:CORDERO AMBULANCE SERVICE INC.
Entity Type:Organization
Organization Name:CORDERO AMBULANCE SERVICE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANGEL
Authorized Official - Middle Name:F
Authorized Official - Last Name:CORDERO-SOTO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-895-4800
Mailing Address - Street 1:6429 CARR 2
Mailing Address - Street 2:PMB 125
Mailing Address - City:QUEBRADILLAS
Mailing Address - State:PR
Mailing Address - Zip Code:00678
Mailing Address - Country:US
Mailing Address - Phone:787-895-4800
Mailing Address - Fax:787-818-0429
Practice Address - Street 1:CARR 113 KM 12.0
Practice Address - Street 2:BO. LA ROMANA
Practice Address - City:QUEBRADILLAS
Practice Address - State:PR
Practice Address - Zip Code:00678
Practice Address - Country:US
Practice Address - Phone:787-895-4800
Practice Address - Fax:787-895-4800
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-11
Last Update Date:2008-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PRP16033416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport