Provider Demographics
NPI:1972757623
Name:PRO MED AMBULANCES SERVICES & SALES
Entity type:Organization
Organization Name:PRO MED AMBULANCES SERVICES & SALES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:
Authorized Official - Last Name:ORENCH MENDOZA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-650-8888
Mailing Address - Street 1:PO BOX 1849
Mailing Address - Street 2:
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:00613-1849
Mailing Address - Country:US
Mailing Address - Phone:787-650-8888
Mailing Address - Fax:787-650-8888
Practice Address - Street 1:STREET NO 2 KM 70 HM02
Practice Address - Street 2:BO SANTANA
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00612-0000
Practice Address - Country:US
Practice Address - Phone:787-650-8888
Practice Address - Fax:787-650-8888
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-07
Last Update Date:2013-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PRTC-AMB 558341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance