Provider Demographics
NPI:1851619555
Name:SOUTHWEST AMBULANCE TRANSPORTATION
Entity Type:Organization
Organization Name:SOUTHWEST AMBULANCE TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROPIETARIE
Authorized Official - Prefix:MRS
Authorized Official - First Name:JESICA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:SANTANA
Authorized Official - Suffix:
Authorized Official - Credentials:PARAMEDIC
Authorized Official - Phone:787-394-3297
Mailing Address - Street 1:PO BOX 266
Mailing Address - Street 2:
Mailing Address - City:CABO ROJO
Mailing Address - State:PUERTO RICO
Mailing Address - Zip Code:00623
Mailing Address - Country:UM
Mailing Address - Phone:787-394-3297
Mailing Address - Fax:
Practice Address - Street 1:CARR 102 KM 23.3
Practice Address - Street 2:
Practice Address - City:CABO ROJO
Practice Address - State:PUERTO RICO
Practice Address - Zip Code:00623
Practice Address - Country:UM
Practice Address - Phone:787-394-3297
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-06
Last Update Date:2010-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance