Provider Demographics
NPI:1942475645
Name:CALDERON AMBULANCE SERVICES INC.
Entity Type:Organization
Organization Name:CALDERON AMBULANCE SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RAMON
Authorized Official - Middle Name:CALDERON
Authorized Official - Last Name:ROSA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-891-5805
Mailing Address - Street 1:183 CALLE ZAFIRO
Mailing Address - Street 2:VILLA ALEGRIA
Mailing Address - City:AGUADILLA
Mailing Address - State:PR
Mailing Address - Zip Code:00603-5637
Mailing Address - Country:US
Mailing Address - Phone:787-891-5805
Mailing Address - Fax:130-567-5855
Practice Address - Street 1:183 CALLE ZAFIRO
Practice Address - Street 2:VILLA ALEGRIA
Practice Address - City:AGUADILLA
Practice Address - State:PR
Practice Address - Zip Code:00603-5637
Practice Address - Country:US
Practice Address - Phone:787-891-5805
Practice Address - Fax:130-567-5855
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-24
Last Update Date:2011-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR06627763416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport