Provider Demographics
NPI:1861674657
Name:SANABRIA EMERGENCY MEDICAL SERVICE CORP.
Entity Type:Organization
Organization Name:SANABRIA EMERGENCY MEDICAL SERVICE CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NELSON
Authorized Official - Middle Name:I
Authorized Official - Last Name:SANABRIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-882-6301
Mailing Address - Street 1:236-1 AVE MONTEMAR
Mailing Address - Street 2:
Mailing Address - City:AGUADILLA
Mailing Address - State:PR
Mailing Address - Zip Code:00603-5583
Mailing Address - Country:US
Mailing Address - Phone:787-363-7968
Mailing Address - Fax:787-891-4803
Practice Address - Street 1:CARR. 467 KM2.2. BO. BORINQUEN
Practice Address - Street 2:
Practice Address - City:AGUADILLA
Practice Address - State:PR
Practice Address - Zip Code:00603
Practice Address - Country:US
Practice Address - Phone:787-363-7968
Practice Address - Fax:787-891-4803
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-04
Last Update Date:2009-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PRTC AMB 5673416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport