Provider Demographics
NPI:1972862167
Name:TIRU AMBULANCE CORP.
Entity Type:Organization
Organization Name:TIRU AMBULANCE CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:RAQUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:TIRU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-602-7157
Mailing Address - Street 1:POST OFFICE BOX 2154
Mailing Address - Street 2:
Mailing Address - City:YAUCO
Mailing Address - State:PR
Mailing Address - Zip Code:00698
Mailing Address - Country:US
Mailing Address - Phone:787-602-7157
Mailing Address - Fax:
Practice Address - Street 1:CALLE 25 DE JULIO # 17
Practice Address - Street 2:
Practice Address - City:YAUCO
Practice Address - State:PR
Practice Address - Zip Code:00698-3604
Practice Address - Country:US
Practice Address - Phone:787-602-7157
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-09
Last Update Date:2012-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3098323416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport