Provider Demographics
NPI:1518698521
Name:DREAMLIFE AMBULANCE CORP
Entity Type:Organization
Organization Name:DREAMLIFE AMBULANCE CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENTE
Authorized Official - Prefix:
Authorized Official - First Name:LUIS
Authorized Official - Middle Name:M
Authorized Official - Last Name:VELEZ RIOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-241-6590
Mailing Address - Street 1:PO BOX 1880
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00960-1880
Mailing Address - Country:US
Mailing Address - Phone:787-241-6590
Mailing Address - Fax:787-777-1577
Practice Address - Street 1:CAMPANILLAS TOA BAJA 425 C-A
Practice Address - Street 2:PALMAS CAMPANILLA
Practice Address - City:TOA BAJA
Practice Address - State:PR
Practice Address - Zip Code:00949
Practice Address - Country:US
Practice Address - Phone:787-241-6590
Practice Address - Fax:787-777-1577
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-21
Last Update Date:2022-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport