Active NPIOrganization

Peach State Ambulance Of Pr INC

Ambulance, Land Transport in Quebradillas, Puerto Rico

NPI Number1902127731
Practice location
Carr Num 2 Km 97.7, Bo Cocos, Quebradillas, PR 00678-9998
Fax
787-551-7104
Last updated
November 13, 2025

Peach State Ambulance Of Pr INC is a healthcare organization based in Quebradillas, PR. Peach State Ambulance Of Pr INC practices in Quebradillas, PR. The NPI Number for Peach State Ambulance Of Pr INC is 1902127731 and holds a License No. TCAMB 646 (PR). The current practice location address for Peach State Ambulance Of Pr INC is Carr Num 2 Km 97.7, Bo Cocos, Quebradillas, PR 00678-9998 and can be reached out via phone at 787-213-7522 and via fax at 787-551-7104.

Provider Profile Details

NPI Number
1902127731
Provider Name
Peach State Ambulance Of Pr INC
Provider Entity Type
Organization
Address
Carr Num 2 Km 97.7, Bo Cocos, Quebradillas, PR 00678-9998
Phone Number
787-213-7522
Fax Number
787-551-7104
Primary Taxonomy
Ambulance, Land Transport · 3416L0300X
Organization Subpart
No
Authorized Official
Mrs. Yasmin De Lacruz Ruiz · President · 787-213-7522
Provider Enumeration Date
June 16, 2010
Last Update Date
November 13, 2025
Certification Date
November 13, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
Carr Num 2 Km 97.7
Bo Cocos
Quebradillas, PR 00678-9998
Zip
00678-9998
Phone Number
787-213-7522
Fax Number
787-551-7104
Quebradillas, PR 00678Get directions →

Provider Business Mailing Address Details

Address
58 Calle Socorro Pmb 22
Quebradillas, PR 00678-1854
City
Quebradillas
State
PR
Zip
00678-1854
Phone Number
787-213-7522
Fax Number
787-895-8282

License Information

Taxonomy (1)
Non-emergency Medical Transport (VAN) · 343900000X
License Number (2)
TCAMB 646
License State (2)
PR
Taxonomy (2)
Ambulance, Land Transport · 3416L0300X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Peach State Ambulance Of Pr INC?

The NPI number of Peach State Ambulance Of Pr INC is 1902127731. It was assigned on June 16, 2010 and is currently active in the NPPES registry.

What is the specialty of Peach State Ambulance Of Pr INC?

Peach State Ambulance Of Pr INC is registered under the primary taxonomy Ambulance, Land Transport (code 3416L0300X), licensed in PR under license number TCAMB 646.

Where does Peach State Ambulance Of Pr INC practice?

The practice location is Carr Num 2 Km 97.7, Bo Cocos, Quebradillas, PR 00678-9998. The office can be reached at 787-213-7522 (phone) or 787-551-7104 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1902127731 directly on the NPPES registry website.

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