Provider Demographics
NPI:1851524789
Name:G&V AMBULANCE SERVICE INC
Entity Type:Organization
Organization Name:G&V AMBULANCE SERVICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AMARILIS
Authorized Official - Middle Name:
Authorized Official - Last Name:RUPERTO GONZALEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-599-3118
Mailing Address - Street 1:HC 2 BOX 10469
Mailing Address - Street 2:
Mailing Address - City:LAS MARIAS
Mailing Address - State:PR
Mailing Address - Zip Code:00670-0001
Mailing Address - Country:US
Mailing Address - Phone:787-599-3118
Mailing Address - Fax:
Practice Address - Street 1:AVE AGUSTIN RAMOS CALERO 7459
Practice Address - Street 2:SUITE B
Practice Address - City:ISABELA
Practice Address - State:PR
Practice Address - Zip Code:00662-0001
Practice Address - Country:US
Practice Address - Phone:787-599-3118
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-26
Last Update Date:2013-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PRTCAMB611341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance