Provider Demographics
NPI:1447412168
Name:ALERS, JEANNETTE
Entity Type:Individual
Prefix:
First Name:JEANNETTE
Middle Name:
Last Name:ALERS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ALERS
Other - Middle Name:
Other - Last Name:MEDICAL TRANSPORT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 3384
Mailing Address - Street 2:
Mailing Address - City:AGUADILLA
Mailing Address - State:PR
Mailing Address - Zip Code:00605-3384
Mailing Address - Country:US
Mailing Address - Phone:787-891-2874
Mailing Address - Fax:787-818-0429
Practice Address - Street 1:CARR 459 KM 2 0 INT
Practice Address - Street 2:
Practice Address - City:AGUADILLA
Practice Address - State:RI
Practice Address - Zip Code:00605
Practice Address - Country:US
Practice Address - Phone:787-891-2874
Practice Address - Fax:787-818-0429
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-25
Last Update Date:2008-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PRTC AMB 4053416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0057966Medicare PIN