Provider Demographics
NPI:1902946510
Name:CMG AMBULANCE SERVICES, INC.
Entity Type:Organization
Organization Name:CMG AMBULANCE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALFONSO
Authorized Official - Middle Name:
Authorized Official - Last Name:GONZALEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-449-8566
Mailing Address - Street 1:5 CALLE CONCEPCION
Mailing Address - Street 2:
Mailing Address - City:GUAYANILLA
Mailing Address - State:PR
Mailing Address - Zip Code:00656-1712
Mailing Address - Country:US
Mailing Address - Phone:787-449-8566
Mailing Address - Fax:787-835-0261
Practice Address - Street 1:140 CALLE LUIS MUNOZ RIVERA
Practice Address - Street 2:
Practice Address - City:GUAYANILLA
Practice Address - State:PR
Practice Address - Zip Code:00656-1828
Practice Address - Country:US
Practice Address - Phone:787-449-8566
Practice Address - Fax:787-835-0261
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport