Provider Demographics
NPI:1619579257
Name:ER AMBULANCE, INC.
Entity type:Organization
Organization Name:ER AMBULANCE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENTE
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBLES PAGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-629-5009
Mailing Address - Street 1:PO BOX 1576
Mailing Address - Street 2:
Mailing Address - City:CIALES
Mailing Address - State:PR
Mailing Address - Zip Code:00638-1576
Mailing Address - Country:US
Mailing Address - Phone:787-629-5009
Mailing Address - Fax:
Practice Address - Street 1:CARR 146 KM 19.1
Practice Address - Street 2:BO FRONTON SABANA
Practice Address - City:CIALES
Practice Address - State:PR
Practice Address - Zip Code:00638-9732
Practice Address - Country:US
Practice Address - Phone:787-629-5009
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-09
Last Update Date:2024-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR12345Medicaid