Provider Demographics
NPI:1679155451
Name:911 BAY WATCH AMBULANCES DE RL DE CV
Entity type:Organization
Organization Name:911 BAY WATCH AMBULANCES DE RL DE CV
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:ANTONIO
Authorized Official - Middle Name:
Authorized Official - Last Name:ALCARAZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-903-7445
Mailing Address - Street 1:PO BOX 39662
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33339-9662
Mailing Address - Country:US
Mailing Address - Phone:954-526-9751
Mailing Address - Fax:
Practice Address - Street 1:AVENIDA AGUAJITOS FRACC C LOTE 12 COL ARCOS DEL SOL
Practice Address - Street 2:
Practice Address - City:CABO SAN LUCAS
Practice Address - State:BAJA CALIFORNIA SUR
Practice Address - Zip Code:23474
Practice Address - Country:MX
Practice Address - Phone:954-526-9751
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-22
Last Update Date:2021-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance