Provider Demographics
NPI:1053596304
Name:MED WORLD AMBULANCE CORP
Entity type:Organization
Organization Name:MED WORLD AMBULANCE CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:MELANIE
Authorized Official - Middle Name:M
Authorized Official - Last Name:FELICIANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-895-1717
Mailing Address - Street 1:CARR 485 KM 2.5 INT
Mailing Address - Street 2:BO SAN JOSE
Mailing Address - City:QUEBRADILLAS
Mailing Address - State:PR
Mailing Address - Zip Code:00678-0000
Mailing Address - Country:US
Mailing Address - Phone:787-895-1717
Mailing Address - Fax:787-820-3198
Practice Address - Street 1:CARR 485 KM 2.5 INT
Practice Address - Street 2:BO SAN JOSE
Practice Address - City:QUEBRADILLAS
Practice Address - State:PR
Practice Address - Zip Code:00678-0000
Practice Address - Country:US
Practice Address - Phone:787-895-1717
Practice Address - Fax:787-820-3198
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-07
Last Update Date:2008-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PRTCAMB515341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance