Provider Demographics
NPI:1053545137
Name:PRO HEALTH AMBULANCE SERVICES, INC
Entity type:Organization
Organization Name:PRO HEALTH AMBULANCE SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENTE
Authorized Official - Prefix:
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:
Authorized Official - Last Name:REYES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-212-4700
Mailing Address - Street 1:PO BOX 7017
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00726-7017
Mailing Address - Country:US
Mailing Address - Phone:787-212-4700
Mailing Address - Fax:
Practice Address - Street 1:1386 AVE SAN IGNACIO
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00921-3828
Practice Address - Country:US
Practice Address - Phone:787-212-4700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-05
Last Update Date:2021-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport