# VICENT AMBULANCE

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

## Provider details

- **NPI number:** 1114944774
- **Authorized official:** DR. JOSE V RIVERA IRIZARRY (PRESIDENTE)
- **Authorized official phone:** (787) 839-0909

## Contact information

- **Practice address:** 25 CALLE GENERAL BROOKE, ARROYO, PR 00714-2640
- **Practice address phone:** (787) 839-0909
- **Practice address fax:** (787) 839-6775
- **Mailing address:** PO BOX 1837, GUAYAMA, PR 00785-1837
- **Mailing address phone:** (787) 839-0909
- **Mailing address fax:** (787) 839-6775

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | TCAMB-384 | PR | Yes |

## Other

- **Enumeration date:** 07/17/2006
- **Last updated:** 11/27/2012