# A1 PRIMAVERA AMBULANCE SERVICE INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023067717
- **Authorized official:** WILFREDO ORTIZ (PRESIDENT)
- **Authorized official phone:** (939) 644-0848

## Contact information

- **Practice address:** CARRETERA 172 KM 7.5, BO BAYAMON SECT CERTENEJAS 2, CIDRA, PR 00739
- **Practice address phone:** (939) 644-0848
- **Mailing address:** RR 2 BOX 6901, CIDRA, PR 00739-9600
- **Mailing address phone:** (939) 644-0848

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | TC AMB 323 | PR | Yes |

## Other

- **Enumeration date:** 05/09/2006
- **Last updated:** 08/22/2020