Provider Demographics
NPI:1578750527
Name:RJ&RMAMBULANCE INC
Entity Type:Organization
Organization Name:RJ&RMAMBULANCE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENTE
Authorized Official - Prefix:MR
Authorized Official - First Name:RAFAEL
Authorized Official - Middle Name:E
Authorized Official - Last Name:RIVERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-613-6058
Mailing Address - Street 1:PO BOX 978
Mailing Address - Street 2:
Mailing Address - City:YABUCOA
Mailing Address - State:PR
Mailing Address - Zip Code:00767-0978
Mailing Address - Country:US
Mailing Address - Phone:787-613-6058
Mailing Address - Fax:787-266-3479
Practice Address - Street 1:CARR 182 K4 H1
Practice Address - Street 2:PARCELAS ROSA SANCHEZ #15
Practice Address - City:YABUCOA
Practice Address - State:PR
Practice Address - Zip Code:00767-0000
Practice Address - Country:US
Practice Address - Phone:787-613-6058
Practice Address - Fax:787-266-3479
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-03
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1742357341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR=========OtherEIN