Provider Demographics
NPI:1760403828
Name:ALPHA AMBULANCE INC.
Entity Type:Organization
Organization Name:ALPHA AMBULANCE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENTA
Authorized Official - Prefix:
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:ELENA
Authorized Official - Last Name:GUZMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-728-2610
Mailing Address - Street 1:PO BOX 19313
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00910-1313
Mailing Address - Country:US
Mailing Address - Phone:787-728-2610
Mailing Address - Fax:
Practice Address - Street 1:1720 AVE EDUARDO CONDE
Practice Address - Street 2:
Practice Address - City:SANTURCE
Practice Address - State:PR
Practice Address - Zip Code:00912-3917
Practice Address - Country:US
Practice Address - Phone:787-726-8482
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-22
Last Update Date:2012-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PRTCAMB1563416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport