Provider Demographics
NPI:1710990155
Name:MILLENNIUM AMBULANCE, CORP.
Entity Type:Organization
Organization Name:MILLENNIUM AMBULANCE, CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:MUNOZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-549-1150
Mailing Address - Street 1:PO BOX 1517
Mailing Address - Street 2:
Mailing Address - City:RINCON
Mailing Address - State:PR
Mailing Address - Zip Code:00677-1517
Mailing Address - Country:US
Mailing Address - Phone:787-823-4383
Mailing Address - Fax:787-823-4343
Practice Address - Street 1:CARR 115 KM 11.1
Practice Address - Street 2:BO PUEBLO
Practice Address - City:RINCON
Practice Address - State:PR
Practice Address - Zip Code:00677
Practice Address - Country:US
Practice Address - Phone:787-823-4383
Practice Address - Fax:787-823-4343
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-15
Last Update Date:2008-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PRTC AMB 4253416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR90-05196OtherACAA
PR57991 MIOtherTRIPLE S OPTIMO
PR890622OtherMEDICARE Y MUCHO MAS
PR3847OtherAPS HEALTHCARE
PR50739OtherPREFFERED MEDICAL CHOICE
PR6770011OtherHUMANA HEALTH PLANS OF PUERTO RICO
PR12268OtherPROSALUD HMO CORP.
PR57991OtherTRIPLE-S, MEDICARE SELECTO PLATINO
PR57991 MIOtherTRIPLE- C, INC.
PR6676OtherAMERICAN HEALTH MEDICARE
PR890622OtherMEDICARE Y MUCHO MAS