Provider Demographics
NPI:1518999390
Name:GOLDEN AMBULANCE INC
Entity Type:Organization
Organization Name:GOLDEN AMBULANCE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROPIETARIO
Authorized Official - Prefix:
Authorized Official - First Name:MILTON
Authorized Official - Middle Name:COLLAZO
Authorized Official - Last Name:MATOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:1787-866-2667
Mailing Address - Street 1:GOLDEN AMBULANCE INC
Mailing Address - Street 2:BOX2940
Mailing Address - City:GUAYAMA
Mailing Address - State:PR
Mailing Address - Zip Code:00784
Mailing Address - Country:US
Mailing Address - Phone:178-786-6266
Mailing Address - Fax:787-866-3609
Practice Address - Street 1:URB VIVES CALLE ESTEBAN B CRUZ
Practice Address - Street 2:NUMERO83
Practice Address - City:GUAYAMA
Practice Address - State:PR
Practice Address - Zip Code:00784
Practice Address - Country:US
Practice Address - Phone:787-866-2667
Practice Address - Fax:787-866-3609
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR59278Medicare ID - Type Unspecified