Provider Demographics
NPI:1922760404
Name:ADVANCE EMERGENCY CARE SYSTEM CORP
Entity Type:Organization
Organization Name:ADVANCE EMERGENCY CARE SYSTEM CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NEFTALI
Authorized Official - Middle Name:
Authorized Official - Last Name:RUPERTO GONZALEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:939-339-3140
Mailing Address - Street 1:HC 9 BOX 90925
Mailing Address - Street 2:
Mailing Address - City:SAN SEBASTIAN
Mailing Address - State:PR
Mailing Address - Zip Code:00685-6526
Mailing Address - Country:US
Mailing Address - Phone:939-339-3140
Mailing Address - Fax:787-551-7104
Practice Address - Street 1:CALLE RUIZ BELVIS ESQ HOSTOS NUM 30
Practice Address - Street 2:
Practice Address - City:SAN SEBASTIAN
Practice Address - State:PR
Practice Address - Zip Code:00685-2635
Practice Address - Country:US
Practice Address - Phone:939-339-3140
Practice Address - Fax:787-551-7104
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-12
Last Update Date:2023-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRTCAMB138786OtherTCAMB