Provider Demographics
NPI:1962580282
Name:NEW LIFE AMBULANCE CORP
Entity type:Organization
Organization Name:NEW LIFE AMBULANCE CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:EFREN
Authorized Official - Middle Name:
Authorized Official - Last Name:NAVIA SANTIAGO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-797-1737
Mailing Address - Street 1:PO BOX 607071
Mailing Address - Street 2:POSTNET PMBS
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00960-7071
Mailing Address - Country:US
Mailing Address - Phone:787-797-1737
Mailing Address - Fax:787-279-3433
Practice Address - Street 1:BC1 CALLE 39
Practice Address - Street 2:REXVILLE
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00957-4133
Practice Address - Country:US
Practice Address - Phone:787-797-1737
Practice Address - Fax:787-279-3433
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-02
Last Update Date:2023-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PRTC AMB-1193416L0300X
3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR820261OtherMEDICARE Y MUCHO MAS
PR80098OtherPREFERRED MEDICARE CHOICE
PR820261OtherMEDICARE Y MUCHO MAS