Provider Demographics
NPI:1295097632
Name:MIA AMBULANCE INC
Entity type:Organization
Organization Name:MIA AMBULANCE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:RODRIGO
Authorized Official - Last Name:MARTI RAMIREZ DE ARELLANO
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:787-243-8358
Mailing Address - Street 1:PO BOX 1449
Mailing Address - Street 2:
Mailing Address - City:VEGA BAJA
Mailing Address - State:PR
Mailing Address - Zip Code:00694-1449
Mailing Address - Country:US
Mailing Address - Phone:787-679-4104
Mailing Address - Fax:787-855-1573
Practice Address - Street 1:4309 CARR 2 # KM433
Practice Address - Street 2:ALGARROBO
Practice Address - City:VEGA BAJA
Practice Address - State:PR
Practice Address - Zip Code:00693-4141
Practice Address - Country:US
Practice Address - Phone:787-679-4104
Practice Address - Fax:787-855-1573
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-12
Last Update Date:2013-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PRTC6413416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport