Organization
V.I.P. AMBULANCE CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WANDA SANTIAGO (PRESIDENTE)
(787) 708-4558
Entity
Organization
Contact information
Practice address
180 CALLE JOSE F DIAZ, APTO 1502 COND MONTE BRISAS, SAN JUAN, PR 00926-5972
(787) 708-4558
(787) 731-2711
Mailing address
PO BOX 29004, SAN JUAN, PR 00929-0004
(787) 708-4558
(787) 790-9212
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
TCAMB313
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0056620
0056620
PR
01
—
50219
PREFERED MEDICARE CHOICE
PR
01
—
890430
MEDICARE Y MUCHO MAS
PR
01
—
9004246
ACAA
PR
Enumeration date
05/27/2006
Last updated
08/16/2023
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