Provider Demographics
NPI:1912956608
Name:RAMOS LOPEZ AMBULANCE SERVICES INC
Entity Type:Organization
Organization Name:RAMOS LOPEZ AMBULANCE SERVICES INC
Other - Org Name:LUIS A RAMOS-VERA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LUIS
Authorized Official - Middle Name:A
Authorized Official - Last Name:RAMOS - VERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-814-2802
Mailing Address - Street 1:PO BOX 248
Mailing Address - Street 2:
Mailing Address - City:LARES
Mailing Address - State:PR
Mailing Address - Zip Code:00669-0248
Mailing Address - Country:US
Mailing Address - Phone:787-814-2802
Mailing Address - Fax:
Practice Address - Street 1:CALLE FERNANDO LUIS GARCIA 316
Practice Address - Street 2:
Practice Address - City:UTUADO
Practice Address - State:PR
Practice Address - Zip Code:00641
Practice Address - Country:US
Practice Address - Phone:787-814-2802
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-09
Last Update Date:2010-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PRTC AMB 2623416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0053521Medicare ID - Type UnspecifiedAMBULANCE LAND