Provider Demographics
NPI:1518790609
Name:PR FAST AMBULANCE LLC
Entity type:Organization
Organization Name:PR FAST AMBULANCE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GERENTE GENERAL
Authorized Official - Prefix:MR
Authorized Official - First Name:ANGEL
Authorized Official - Middle Name:E
Authorized Official - Last Name:SANTIAGO
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:787-420-0806
Mailing Address - Street 1:PO BOX 1591
Mailing Address - Street 2:
Mailing Address - City:SABANA SECA
Mailing Address - State:PR
Mailing Address - Zip Code:00952-1591
Mailing Address - Country:US
Mailing Address - Phone:787-420-0806
Mailing Address - Fax:787-796-0911
Practice Address - Street 1:CARR 872 KM 1.1
Practice Address - Street 2:REPARTO TERESITA
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00961
Practice Address - Country:US
Practice Address - Phone:787-667-7753
Practice Address - Fax:787-796-0911
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-23
Last Update Date:2024-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance