Provider Demographics
NPI:1972534857
Name:AMAZING AMBULANCE SERVICE, INC.
Entity Type:Organization
Organization Name:AMAZING AMBULANCE SERVICE, INC.
Other - Org Name:GUSTAVO PLANELL PABON
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:DAINA
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMOS
Authorized Official - Suffix:SR
Authorized Official - Credentials:7874445700
Authorized Official - Phone:787-444-5700
Mailing Address - Street 1:45 CALLE PEDRO ALBIZU CAMPOS
Mailing Address - Street 2:
Mailing Address - City:LARES
Mailing Address - State:PR
Mailing Address - Zip Code:00669-2106
Mailing Address - Country:US
Mailing Address - Phone:787-444-5700
Mailing Address - Fax:787-897-6673
Practice Address - Street 1:45 CALLE PEDRO ALBIZU CAMPOS
Practice Address - Street 2:
Practice Address - City:LARES
Practice Address - State:PR
Practice Address - Zip Code:00669-2106
Practice Address - Country:US
Practice Address - Phone:787-444-5700
Practice Address - Fax:787-897-6673
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-06
Last Update Date:2013-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PRTC AMB 275341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR57271OtherTRIPLE S
PR7583OtherAMERICAN HEALTH MEDICARE
PR57271OtherTRIPLE S