# SAN RAFAEL AMBULANCE CORP

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

## Provider details

- **NPI number:** 1174705461
- **Authorized official:** IRMA L GARCIA HERNANDEZ (PRESIDENT)
- **Authorized official phone:** (787) 379-3224

## Contact information

- **Practice address:** 88B AVE MONTEMAR, AGUADILLA, PR 00603-5567
- **Practice address phone:** (787) 379-3224
- **Practice address fax:** (787) 818-0429
- **Mailing address:** PO BOX 1300, QUEBRADILLAS, PR 00678-1300
- **Mailing address phone:** (787) 379-3224
- **Mailing address fax:** (787) 818-0429

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | TCAMB 508 | PR | Yes |

## Other

- **Enumeration date:** 11/29/2007
- **Last updated:** 05/20/2008