# JAMAR A. BAEZ LARACUENTE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** LARACUENTE AMBULANCE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104153576
- **Authorized official:** MR. JAMAR A. BAEZ (PRESIDENT)
- **Authorized official phone:** (939) 245-1900

## Contact information

- **Practice address:** HACIENDA DEL CAYABO P-30, BO COLLORES, JUANA DIAZ, PR 00795
- **Practice address phone:** (939) 245-1900
- **Practice address fax:** (787) 812-4781
- **Mailing address:** 609 AVE TITO CASTRO, SUITE 102 PMB 183, PONCE, PR 00716-0200
- **Mailing address phone:** (787) 385-6886
- **Mailing address fax:** (787) 812-4781

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | — | NULL | Yes |

## Other

- **Enumeration date:** 11/05/2009
- **Last updated:** 02/20/2023