Provider Demographics
NPI:1417031501
Name:ATLANTIC AMBULANCE CORP.
Entity Type:Organization
Organization Name:ATLANTIC AMBULANCE CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CESAR
Authorized Official - Middle Name:FELIPE
Authorized Official - Last Name:PINEIRO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-878-7924
Mailing Address - Street 1:PO BOX 737
Mailing Address - Street 2:
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:00613-0737
Mailing Address - Country:US
Mailing Address - Phone:787-878-7924
Mailing Address - Fax:787-878-7924
Practice Address - Street 1:URBANIZACION GARCIA
Practice Address - Street 2:CALLE JUAN PONC E DE LEON #C1
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00612
Practice Address - Country:US
Practice Address - Phone:787-878-7924
Practice Address - Fax:787-878-7924
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PRTC AMB 367341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR57404OtherTRIPLE C
PR0057404Medicare ID - Type UnspecifiedMEDICARE