Provider Demographics
NPI:1790734705
Name:RAQUEL ESPINOSA BARAJAS
Entity Type:Organization
Organization Name:RAQUEL ESPINOSA BARAJAS
Other - Org Name:WESTERN HEALTH & CARE AMBULANCE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:RAQUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ESPINOSA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-254-2270
Mailing Address - Street 1:PO BOX 7147
Mailing Address - Street 2:
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00681-7147
Mailing Address - Country:US
Mailing Address - Phone:787-254-2270
Mailing Address - Fax:787-254-2270
Practice Address - Street 1:CARR 100
Practice Address - Street 2:LOCAL A 3
Practice Address - City:CABO ROJO
Practice Address - State:PR
Practice Address - Zip Code:00623-4730
Practice Address - Country:US
Practice Address - Phone:787-254-2270
Practice Address - Fax:787-254-2270
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-08
Last Update Date:2007-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PRTCAMB 354341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR57251Medicare ID - Type UnspecifiedAMBULANCE