Provider Demographics
NPI:1396005062
Name:JAM AMBULANCE SERVICE INC
Entity Type:Organization
Organization Name:JAM AMBULANCE SERVICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENTE
Authorized Official - Prefix:MR
Authorized Official - First Name:PABLO
Authorized Official - Middle Name:
Authorized Official - Last Name:VEGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-263-0914
Mailing Address - Street 1:13 CALLE LOS ALMENDROS
Mailing Address - Street 2:
Mailing Address - City:CAYEY
Mailing Address - State:PR
Mailing Address - Zip Code:00736-4034
Mailing Address - Country:US
Mailing Address - Phone:787-263-0914
Mailing Address - Fax:787-263-5028
Practice Address - Street 1:13 CALLE LOS ALMENDROS
Practice Address - Street 2:
Practice Address - City:CAYEY
Practice Address - State:PR
Practice Address - Zip Code:00736-4034
Practice Address - Country:US
Practice Address - Phone:787-263-0914
Practice Address - Fax:787-263-5028
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-29
Last Update Date:2012-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PRTCAMB620341600000X
PR341600000X
3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No341600000XTransportation ServicesAmbulance