# DIANA LOPEZ

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Isla Ambulance
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053526426
- **Authorized official:** DIANA LOPEZ (OWNER)
- **Authorized official phone:** (787) 530-2364

## Contact information

- **Practice address:** REPARTO FELICIANO \# 3, APARTAMENTO 1 A, MAYAGUEZ, PR 00681
- **Practice address phone:** (787) 530-2364
- **Practice address fax:** (787) 259-3292
- **Mailing address:** AVE CORAZON 1020, PMB 7999 BUZON 181, MAYAGUEZ, PR 00680
- **Mailing address phone:** (787) 530-2364

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | P1122 | PR | Yes |

## Other

- **Enumeration date:** 05/11/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | TC AMB 446 | COMISION SERVICIO PUBLICO | PR |