Provider Demographics
NPI:1902925969
Name:GUADAMED AMBULANCE, INC.
Entity type:Organization
Organization Name:GUADAMED AMBULANCE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRADORA
Authorized Official - Prefix:MRS
Authorized Official - First Name:REBECA
Authorized Official - Middle Name:I
Authorized Official - Last Name:VEGA DIAZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-949-3177
Mailing Address - Street 1:HC 2 BOX 12142
Mailing Address - Street 2:
Mailing Address - City:GURABO
Mailing Address - State:PR
Mailing Address - Zip Code:00778-9613
Mailing Address - Country:US
Mailing Address - Phone:787-949-3177
Mailing Address - Fax:787-737-7603
Practice Address - Street 1:HC 2 BOX 12142
Practice Address - Street 2:
Practice Address - City:GURABO
Practice Address - State:PR
Practice Address - Zip Code:00778-9613
Practice Address - Country:US
Practice Address - Phone:787-949-3177
Practice Address - Fax:787-737-7603
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4126280341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance