# EBENEZER AMBULANCE INC.

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

## Provider details

- **NPI number:** 1063508802
- **Authorized official:** JOSE COLON MARRERO (PRESIDENTE)
- **Authorized official phone:** (787) 721-7413

## Contact information

- **Practice address:** AVE FERNANDEZ JUNCOS PTA DE TIERRA, SAN JUAN, PR 00906-5095
- **Practice address phone:** (787) 721-7413
- **Mailing address:** PO BOX 9065095, SAN JUAN, PR 00906-5095
- **Mailing address phone:** (787) 721-7413

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | TC-AMB 420 | PR | Yes |

## Other

- **Enumeration date:** 10/05/2006
- **Last updated:** 08/22/2020