Provider Demographics
NPI:1518419597
Name:FAST CARE AMBULANCE LLC
Entity Type:Organization
Organization Name:FAST CARE AMBULANCE LLC
Other - Org Name:FAST CARE AMBULANCE LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:CARMEN
Authorized Official - Middle Name:
Authorized Official - Last Name:CRUZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-672-8275
Mailing Address - Street 1:PO BOX 1591
Mailing Address - Street 2:
Mailing Address - City:SABANA SECA
Mailing Address - State:PR
Mailing Address - Zip Code:00952-1591
Mailing Address - Country:US
Mailing Address - Phone:787-672-8275
Mailing Address - Fax:787-796-0911
Practice Address - Street 1:G28 AVENIDA BOULEVARD
Practice Address - Street 2:
Practice Address - City:TOA BAJA
Practice Address - State:PR
Practice Address - Zip Code:00949
Practice Address - Country:US
Practice Address - Phone:787-672-8275
Practice Address - Fax:787-796-0911
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-26
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance