Provider Demographics
NPI:1033471396
Name:EL VALENCIANO AMBULANCE SERVICES INC
Entity type:Organization
Organization Name:EL VALENCIANO AMBULANCE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALEXANDER
Authorized Official - Middle Name:JIMENEZ
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-568-4079
Mailing Address - Street 1:PO BOX 2174
Mailing Address - Street 2:
Mailing Address - City:JUNCOS
Mailing Address - State:PR
Mailing Address - Zip Code:00777-2174
Mailing Address - Country:US
Mailing Address - Phone:787-568-4079
Mailing Address - Fax:787-369-7990
Practice Address - Street 1:BO. GURABO ABAJO
Practice Address - Street 2:SECTOR PLACITA
Practice Address - City:JUNCOS
Practice Address - State:PR
Practice Address - Zip Code:00777
Practice Address - Country:US
Practice Address - Phone:787-568-4079
Practice Address - Fax:787-369-7990
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-13
Last Update Date:2013-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR9050043416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport