Provider Demographics
NPI:1386962124
Name:PRIMARY CARE AMBULANCE INC
Entity type:Organization
Organization Name:PRIMARY CARE AMBULANCE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:
Authorized Official - Last Name:PASTRANA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-373-9696
Mailing Address - Street 1:CARR. 861 KM 4.5 BO. BUCARABONES
Mailing Address - Street 2:
Mailing Address - City:TOA ALTA
Mailing Address - State:PR
Mailing Address - Zip Code:00953
Mailing Address - Country:US
Mailing Address - Phone:787-373-9696
Mailing Address - Fax:787-786-0022
Practice Address - Street 1:CARR 861 # KM 4/5
Practice Address - Street 2:BO BUCARABONES
Practice Address - City:TOA ALTA
Practice Address - State:PR
Practice Address - Zip Code:00953-8528
Practice Address - Country:US
Practice Address - Phone:787-373-9696
Practice Address - Fax:787-786-0022
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-04
Last Update Date:2010-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PRTC AMB-6423416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport