Provider Demographics
NPI:1912964644
Name:SAFETY LIFE AMB.SYSTEM, INC.
Entity Type:Organization
Organization Name:SAFETY LIFE AMB.SYSTEM, INC.
Other - Org Name:OTHER ORGANIZATION NAME MUST BE ENTERED
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSUE
Authorized Official - Middle Name:
Authorized Official - Last Name:QUINTERO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-730-1480
Mailing Address - Street 1:PO BOX 1880
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00960-1880
Mailing Address - Country:US
Mailing Address - Phone:787-730-1480
Mailing Address - Fax:787-730-1484
Practice Address - Street 1:CARRETERA 828
Practice Address - Street 2:KILOMETRO 0.1 BO PIA
Practice Address - City:TOA ALTA
Practice Address - State:PR
Practice Address - Zip Code:00953
Practice Address - Country:US
Practice Address - Phone:787-730-1480
Practice Address - Fax:787-730-1484
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-27
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0055484Medicare ID - Type UnspecifiedAMBULANCE