Provider Demographics
NPI:1467228957
Name:SAR MEDICAL AMBULANCE INC
Entity Type:Organization
Organization Name:SAR MEDICAL AMBULANCE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENTE
Authorized Official - Prefix:PROF
Authorized Official - First Name:XAVIER
Authorized Official - Middle Name:
Authorized Official - Last Name:RIVERA ZAYAS
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:939-274-3616
Mailing Address - Street 1:16 CALLE SAMARIA
Mailing Address - Street 2:
Mailing Address - City:AIBONITO
Mailing Address - State:PR
Mailing Address - Zip Code:00705-3411
Mailing Address - Country:US
Mailing Address - Phone:939-274-3616
Mailing Address - Fax:
Practice Address - Street 1:PARCELA GANDARA 1 CALLE 3 # 90
Practice Address - Street 2:
Practice Address - City:CIDRA
Practice Address - State:PR
Practice Address - Zip Code:00739
Practice Address - Country:US
Practice Address - Phone:939-274-3616
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-27
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical ServicesGroup - Single Specialty