Provider Demographics
NPI:1528212735
Name:AEIAMBULANCE CORP
Entity Type:Organization
Organization Name:AEIAMBULANCE CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENTE
Authorized Official - Prefix:MR
Authorized Official - First Name:ERNESTO
Authorized Official - Middle Name:
Authorized Official - Last Name:RIVERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-287-5192
Mailing Address - Street 1:497 AVE EMILIANO POL
Mailing Address - Street 2:PMB 351 LA CUMBRE
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-5602
Mailing Address - Country:US
Mailing Address - Phone:787-287-5192
Mailing Address - Fax:787-789-0730
Practice Address - Street 1:261 AVE EMILIANO POL
Practice Address - Street 2:LA CUMBRE
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926-5539
Practice Address - Country:US
Practice Address - Phone:787-287-5192
Practice Address - Fax:787-789-0730
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-14
Last Update Date:2008-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR347B00000X347B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347B00000XTransportation ServicesBus