Provider Demographics
NPI:1851580203
Name:LUVIS AMBULANCE SERVICES, INC.
Entity Type:Organization
Organization Name:LUVIS AMBULANCE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENTE
Authorized Official - Prefix:MR
Authorized Official - First Name:JUAN
Authorized Official - Middle Name:L
Authorized Official - Last Name:MORALES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-828-7184
Mailing Address - Street 1:PO BOX 783
Mailing Address - Street 2:
Mailing Address - City:JAYUYA
Mailing Address - State:PR
Mailing Address - Zip Code:00664-0783
Mailing Address - Country:US
Mailing Address - Phone:787-828-7184
Mailing Address - Fax:787-828-7184
Practice Address - Street 1:15 CALLE KENNEDY
Practice Address - Street 2:BDA SANTA CLARA
Practice Address - City:JAYUYA
Practice Address - State:PR
Practice Address - Zip Code:00664-1528
Practice Address - Country:US
Practice Address - Phone:787-828-7184
Practice Address - Fax:787-828-7184
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-22
Last Update Date:2007-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRTC AMB-488OtherCSP
PR0057522Medicare PIN