Provider Demographics
NPI:1194529255
Name:PREMEDICAL AMBULANCE LLC
Entity type:Organization
Organization Name:PREMEDICAL AMBULANCE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENTE
Authorized Official - Prefix:MR
Authorized Official - First Name:BRYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ORTIZ
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:939-499-9905
Mailing Address - Street 1:PO BOX 370079
Mailing Address - Street 2:
Mailing Address - City:CAYEY
Mailing Address - State:PR
Mailing Address - Zip Code:00737-0079
Mailing Address - Country:US
Mailing Address - Phone:939-499-9905
Mailing Address - Fax:
Practice Address - Street 1:AVENIDA MIGUEL MELENDEZ MUNOZ 60B
Practice Address - Street 2:
Practice Address - City:CAYEY
Practice Address - State:PR
Practice Address - Zip Code:00736
Practice Address - Country:US
Practice Address - Phone:939-499-9905
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-01
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport