Provider Demographics
NPI:1912909409
Name:ORIENTAL AMBULANCE SERVICES, INC.
Entity Type:Organization
Organization Name:ORIENTAL AMBULANCE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENTA
Authorized Official - Prefix:MRS
Authorized Official - First Name:JUANITA
Authorized Official - Middle Name:
Authorized Official - Last Name:LUZUNARIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-529-3720
Mailing Address - Street 1:PO BOX 10131
Mailing Address - Street 2:
Mailing Address - City:HUMACAO
Mailing Address - State:PR
Mailing Address - Zip Code:00792-1240
Mailing Address - Country:US
Mailing Address - Phone:787-850-3410
Mailing Address - Fax:
Practice Address - Street 1:CARR. #924 INT. #927
Practice Address - Street 2:BO. ANTON RUIZ #306
Practice Address - City:HUMACAO
Practice Address - State:PR
Practice Address - Zip Code:00791
Practice Address - Country:US
Practice Address - Phone:787-850-5410
Practice Address - Fax:787-852-5945
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PRTC AMB 963416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0059245Medicare ID - Type UnspecifiedMEDICARE NUMBER