ER Ambulance, Inc.
Organization Active NPI Land Ambulance · Ciales, PR
NPI 1619579257 · NPPES record last updated Oct 28, 2024
Key facts
- NPI
- 1619579257
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- Legal business name
- ER AMBULANCE, INC.
- Practice address
- Carr 146 KM 19.1
Bo Fronton Sabana
Ciales, PR 00638-9732 - Phone
- (787) 629-5009
- NPI assigned
- Nov 9, 2020
- Organization subpart
- No
Authorized official
- Name
- Elizabeth Robles Pagan
- Title
- Presidente
- Phone
- (787) 629-5009
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250102001518 | PR | Part B Supplier - Ambulance Service Supplier | 1153858170 | Practice locations: Ciales, PR |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Yes |
Addresses
Primary practice location
Carr 146 KM 19.1
Bo Fronton Sabana
Ciales, PR 00638-9732
Mailing address
PO Box 1576
Ciales, PR 00638-1576
Phone (787) 629-5009
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12345 | Medicaid | PR |
Other providers in Ciales, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 28, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.