| Organization Name: | ADVANCED MEDICAL AMBULANCE CORP |
| NPI Number: | 1124030739 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | IRIS J ALBINO (PRESIDENTE) |
| Mailing Address: | St 3362 Km 0.4 Ward Guama San German |
| State: | PR US |
| Postal Code: | 006832545 |
| Phone Number: | 7872645564 |
| Fax Number: | 7872640703 |
| NPI Enumeration Date: | 08/12/2006 |
| NPI Last Update Date: | 08/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | 07/17/2007 |
| NPI Reactivation Date: | 08/08/2007 |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | TCAMB-388 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |