Provider Demographics
NPI:1417781493
Name:JOSHUAS AMBULANCE
Entity type:Organization
Organization Name:JOSHUAS AMBULANCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENTE
Authorized Official - Prefix:
Authorized Official - First Name:RICARDO
Authorized Official - Middle Name:E
Authorized Official - Last Name:BONILLA CORTES
Authorized Official - Suffix:
Authorized Official - Credentials:TEM
Authorized Official - Phone:939-349-5182
Mailing Address - Street 1:HC 56 BOX 4359
Mailing Address - Street 2:
Mailing Address - City:AGUADA
Mailing Address - State:PR
Mailing Address - Zip Code:00602-8606
Mailing Address - Country:US
Mailing Address - Phone:939-349-5182
Mailing Address - Fax:
Practice Address - Street 1:CARR 417 KM 1.3 BO GUANABANO
Practice Address - Street 2:
Practice Address - City:AGUADA
Practice Address - State:PR
Practice Address - Zip Code:00602
Practice Address - Country:US
Practice Address - Phone:939-349-5182
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-30
Last Update Date:2024-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport