Provider Demographics
NPI:1487695565
Name:AMBULANCIAS DEL ESTE, CORP.
Entity type:Organization
Organization Name:AMBULANCIAS DEL ESTE, CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRADORA
Authorized Official - Prefix:MRS
Authorized Official - First Name:SYLVIA
Authorized Official - Middle Name:L
Authorized Official - Last Name:APONTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-850-2323
Mailing Address - Street 1:90 AVE RIO HONDO
Mailing Address - Street 2:PMB SUITE 184 PLAZA RIO HONDO
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00961-3105
Mailing Address - Country:US
Mailing Address - Phone:787-850-2323
Mailing Address - Fax:787-850-2345
Practice Address - Street 1:CARRETERA # 3 KM. 87.5
Practice Address - Street 2:CANDELERO ARRIBA
Practice Address - City:HUMACAO
Practice Address - State:PR
Practice Address - Zip Code:00791
Practice Address - Country:US
Practice Address - Phone:787-850-2323
Practice Address - Fax:787-850-2345
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-09
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3416L0300X3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR890498OtherMEDICARE Y MUCHO MAS
PR8100090OtherHUMANA HEALTH PLANS OF PR
PA50495OtherPREFERED MEDICARE CHOICE
PR=========OtherMEDICAL CARD SYSTEMS
PA50495OtherPREFERED MEDICARE CHOICE
PR890498OtherMEDICARE Y MUCHO MAS
PR8100090OtherHUMANA HEALTH PLANS OF PR