| Organization Name: | MEDSTAR AMBULANCE SERVICE INC. |
| NPI Number: | 1104143718 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BETHZAIDA ACEVEDO (PRESIDENT) |
| Mailing Address: | Carr. 467 Km 4.4 Camaseyes Aguadilla |
| State: | PR US |
| Postal Code: | 00603 |
| Phone Number: | 7876179110 |
| Fax Number: | 7878900724 |
| NPI Enumeration Date: | 04/23/2010 |
| NPI Last Update Date: | 04/23/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | TC-AMB - 625 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |