Basic Information
| Provider Information | |||||||||
| NPI: | 1720037757 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | DOCTORS AMBULANCE INC | ||||||||
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| Mailing Information | |||||||||
| Address1: | URB MIRADERO 12 CALLE CAMINO DEL MIRADERO | ||||||||
| Address2: | |||||||||
| City: | HUMACAO | ||||||||
| State: | PR | ||||||||
| PostalCode: | 00791 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7872101439 | ||||||||
| FaxNumber: | 7877366853 | ||||||||
| Practice Location | |||||||||
| Address1: | CARRETERA 31 KM 28.5 | ||||||||
| Address2: | |||||||||
| City: | JUNCOS | ||||||||
| State: | PR | ||||||||
| PostalCode: | 00777 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7872101439 | ||||||||
| FaxNumber: | 7877366853 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/08/2006 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | HERNANDEZ | ||||||||
| AuthorizedOfficialFirstName: | GIOVAN | ||||||||
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| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 7872101439 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 3416L0300X | TC AMB 324 | PR | Y | Transportation Services | Ambulance | Land Transport |
No ID Information.