Provider Demographics
NPI:1831746551
Name:ESPARRA AMBULANCE, INC.
Entity type:Organization
Organization Name:ESPARRA AMBULANCE, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENTE
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:F
Authorized Official - Last Name:ESPARRA COLON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-678-6672
Mailing Address - Street 1:PO BOX 1848
Mailing Address - Street 2:
Mailing Address - City:AIBONITO
Mailing Address - State:PR
Mailing Address - Zip Code:00705-1848
Mailing Address - Country:US
Mailing Address - Phone:787-678-6672
Mailing Address - Fax:
Practice Address - Street 1:CARR 723 KM 0 HM 8
Practice Address - Street 2:
Practice Address - City:AIBONITO
Practice Address - State:PR
Practice Address - Zip Code:00705
Practice Address - Country:US
Practice Address - Phone:787-678-6622
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-19
Last Update Date:2024-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRPON-0343OtherCOMISION SERVICIO PUBLICO