Provider Demographics
NPI:1932204575
Name:VICTOR A. FELIZ
Entity Type:Organization
Organization Name:VICTOR A. FELIZ
Other - Org Name:MEDTRANS AMBULANCE SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PARAMEDIC
Authorized Official - Prefix:
Authorized Official - First Name:VICTOR
Authorized Official - Middle Name:ALEXIS
Authorized Official - Last Name:FELIZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-870-4952
Mailing Address - Street 1:M18 CALLE 6
Mailing Address - Street 2:URB. BRAZILIA
Mailing Address - City:VEGA BAJA
Mailing Address - State:PR
Mailing Address - Zip Code:00693-4627
Mailing Address - Country:US
Mailing Address - Phone:787-870-4952
Mailing Address - Fax:
Practice Address - Street 1:M18 CALLE 6
Practice Address - Street 2:URB. BRAZILIA
Practice Address - City:VEGA BAJA
Practice Address - State:PR
Practice Address - Zip Code:00693-4627
Practice Address - Country:US
Practice Address - Phone:787-870-4952
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-14
Last Update Date:2007-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR074521OtherCRUZ AZUL
PR53524OtherTRIPLES
PR074521OtherCRUZ AZUL