Provider Demographics
NPI:1952564791
Name:EO. AMBULANCE SERVICES INC
Entity Type:Organization
Organization Name:EO. AMBULANCE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:OBET
Authorized Official - Middle Name:
Authorized Official - Last Name:JIMENEZ ORTEGA
Authorized Official - Suffix:SR
Authorized Official - Credentials:MD
Authorized Official - Phone:787-262-8526
Mailing Address - Street 1:P.O BOX 850
Mailing Address - Street 2:
Mailing Address - City:CAMUY
Mailing Address - State:PR
Mailing Address - Zip Code:00627-0850
Mailing Address - Country:US
Mailing Address - Phone:787-762-8526
Mailing Address - Fax:939-544-5349
Practice Address - Street 1:1029 AVE COUNTRY CLUB CAMUY
Practice Address - Street 2:
Practice Address - City:CAMUY
Practice Address - State:PR
Practice Address - Zip Code:00627
Practice Address - Country:US
Practice Address - Phone:787-262-8526
Practice Address - Fax:787-262-1808
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-02
Last Update Date:2023-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRBO851AMedicare PIN