Provider Demographics
NPI:1891922456
Name:VARGAS AMBULANCE SERVICE, CORP.
Entity Type:Organization
Organization Name:VARGAS AMBULANCE SERVICE, CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACCOUNTANT
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:IVETTE
Authorized Official - Last Name:TORRES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-366-7279
Mailing Address - Street 1:BUZON 263
Mailing Address - Street 2:150A MARLIN ST MONTESORIA II
Mailing Address - City:AGUIRRE
Mailing Address - State:PR
Mailing Address - Zip Code:00704-0000
Mailing Address - Country:US
Mailing Address - Phone:787-366-7279
Mailing Address - Fax:
Practice Address - Street 1:6A COL LA PROVIDENCIA SECTOR GODREAU
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:PR
Practice Address - Zip Code:00751-0000
Practice Address - Country:US
Practice Address - Phone:787-366-7279
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-22
Last Update Date:2009-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PRTC AMB-5763416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport