# MADELINE POVENTUD MARQUEZ

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- **Entity:** Organization
- **Status:** Active
- **Other names:** POVENTUDAMBULANCESERVICE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023027901
- **Authorized official:** MISS MADELINE POVENTUD MARQUEZ (PROPIETARIA)
- **Authorized official phone:** (787) 252-5086

## Contact information

- **Practice address:** BO NARANJO CARR2, AGUADA, PR 00602
- **Practice address phone:** (787) 252-5086
- **Practice address fax:** (787) 252-5086
- **Mailing address:** P O BOX 915, AGUADA, PR 00602
- **Mailing address fax:** (787) 252-5086

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | TC-AMB-274 | PR | Yes |

## Other

- **Enumeration date:** 08/07/2006
- **Last updated:** 08/19/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 50020 | PMC | PR |
| 01 | — | 6904 | AMERICAN HEALTH MEDICARE | PR |
| 01 | — | 890395 | MMM | PR |