# HATIMED AMBULANCE SERVICE CORP.

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

## Provider details

- **NPI number:** 1194916148
- **Authorized official:** MRS. BRENDA A SEPULVADO (PRESIDENT)
- **Authorized official phone:** (787) 356-8136

## Contact information

- **Practice address:** 905 AVE SAN LUIS, ARECIBO, PR 00612-3834
- **Practice address phone:** (787) 566-6200
- **Practice address fax:** (787) 820-5866
- **Mailing address:** B1 CALLE MIGUEL GONZALEZ, HATILLO DEL MAR, HATILLO, PR 00659-2220
- **Mailing address phone:** (787) 566-6200
- **Mailing address fax:** (787) 820-5866

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | TC AMB 540 | PR | Yes |

## Other

- **Enumeration date:** 08/06/2007
- **Last updated:** 08/19/2008