Provider Demographics
NPI:1821496092
Name:ORTEGA MEDICAL AMBULANCE, INC.
Entity Type:Organization
Organization Name:ORTEGA MEDICAL AMBULANCE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JAVIER
Authorized Official - Middle Name:ORTEGA
Authorized Official - Last Name:TORRES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-221-2052
Mailing Address - Street 1:#61 CALLE REY FERNANDO
Mailing Address - Street 2:MANSIONE EN PASEO DE REYES
Mailing Address - City:JUANA DIAZ
Mailing Address - State:PR
Mailing Address - Zip Code:00795-4006
Mailing Address - Country:US
Mailing Address - Phone:787-221-2052
Mailing Address - Fax:
Practice Address - Street 1:77 CALLE CENTRAL,
Practice Address - Street 2:COTO LAUREL
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00780
Practice Address - Country:US
Practice Address - Phone:787-221-2052
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-19
Last Update Date:2024-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance