Provider Demographics
NPI:1215176649
Name:BETHEL AMBULANCE INC
Entity type:Organization
Organization Name:BETHEL AMBULANCE INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROLANDO
Authorized Official - Middle Name:
Authorized Official - Last Name:CARPENA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-381-3470
Mailing Address - Street 1:PO BOX 1086
Mailing Address - Street 2:
Mailing Address - City:AIBONITO
Mailing Address - State:PR
Mailing Address - Zip Code:00705-1086
Mailing Address - Country:US
Mailing Address - Phone:787-381-3470
Mailing Address - Fax:
Practice Address - Street 1:CARR 725 KM 1 H 1 INT
Practice Address - Street 2:PANORAMAS DE AIBONITO
Practice Address - City:AIBONITO
Practice Address - State:PR
Practice Address - Zip Code:00705
Practice Address - Country:US
Practice Address - Phone:787-381-3470
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-09
Last Update Date:2009-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport