Provider Demographics
NPI:1922239045
Name:GMS AMBULANCE SERVICE CORP
Entity Type:Organization
Organization Name:GMS AMBULANCE SERVICE CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENTA
Authorized Official - Prefix:MRS
Authorized Official - First Name:WANDA
Authorized Official - Middle Name:ENID
Authorized Official - Last Name:NEGRON PAGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-207-2509
Mailing Address - Street 1:PO BOX 1892
Mailing Address - Street 2:
Mailing Address - City:OROCOVIS
Mailing Address - State:PR
Mailing Address - Zip Code:00720-1892
Mailing Address - Country:US
Mailing Address - Phone:787-207-2509
Mailing Address - Fax:787-369-7990
Practice Address - Street 1:CARRETERA 569 KM 2.0
Practice Address - Street 2:BARRIO SABANA
Practice Address - City:OROCOVIS
Practice Address - State:PR
Practice Address - Zip Code:00720
Practice Address - Country:US
Practice Address - Phone:787-207-2509
Practice Address - Fax:787-369-7990
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-06
Last Update Date:2009-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport