MUNICIPIO DE SABANA GRANDE
NPI: 1396170247
· SABANA GRANDE, PR 00637
· Land Ambulance
· NPI assigned 09/11/2013
$189.00
Total Medicaid Paid
Provider Details
| Authorized Official | MENDEZ, ULISES (ADMINISTRATOR) |
| NPI Enumeration Date | 09/11/2013 |
Related Entities
Other providers sharing the same authorized official: MENDEZ, ULISES
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
15 |
$189.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0425 |
Ground mileage, per statute mile |
15 |
12 |
$189.00 |