Provider Demographics
NPI:1528017134
Name:TATOS HEART AMBULANCE SERVICE
Entity Type:Organization
Organization Name:TATOS HEART AMBULANCE SERVICE
Other - Org Name:TATOS HEART AMBULANCE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:EDGARDO
Authorized Official - Middle Name:
Authorized Official - Last Name:VELAZQUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-533-3818
Mailing Address - Street 1:411 CALLE SOLDADO ALCIDES REYES
Mailing Address - Street 2:SAN AGUSTIN
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00923-3214
Mailing Address - Country:US
Mailing Address - Phone:787-533-3818
Mailing Address - Fax:
Practice Address - Street 1:411 CALLE SOLDADO ALCIDES REYES
Practice Address - Street 2:SAN AGUSTIN
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00923-3214
Practice Address - Country:US
Practice Address - Phone:787-533-3818
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance