Provider Demographics
NPI:1417088956
Name:PARAMEDIC LIFE CARE AMBULANCE SERVICE,CORP
Entity Type:Organization
Organization Name:PARAMEDIC LIFE CARE AMBULANCE SERVICE,CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:PROF
Authorized Official - First Name:CARMEN
Authorized Official - Middle Name:MILAGROS
Authorized Official - Last Name:FERRER
Authorized Official - Suffix:I
Authorized Official - Credentials:
Authorized Official - Phone:787-702-6296
Mailing Address - Street 1:CALLE COLLORES URBANIZACION LAS COLINAS
Mailing Address - Street 2:O 3
Mailing Address - City:TOA BAJA
Mailing Address - State:PR
Mailing Address - Zip Code:00949
Mailing Address - Country:US
Mailing Address - Phone:787-702-6296
Mailing Address - Fax:787-740-0020
Practice Address - Street 1:CALLE COLLORES URBANIZACION LAS COLINAS
Practice Address - Street 2:O 3
Practice Address - City:TOA BAJA
Practice Address - State:PR
Practice Address - Zip Code:00949
Practice Address - Country:US
Practice Address - Phone:787-702-6296
Practice Address - Fax:787-740-0020
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR=========OtherEIN