# JEZREEL AMBULANCE, INC.

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

## Provider details

- **NPI number:** 1194989335
- **Authorized official:** MR. OSVALDO ORTIZ ROLDAN TEM (PRESIDENTE)
- **Authorized official phone:** (787) 370-5021

## Contact information

- **Practice address:** KM2 RAMAL 9929 CARR 183, SAN LORENZO, PR 00754
- **Practice address phone:** (787) 736-7932
- **Mailing address:** PO BOX 987, SAN LORENZO, PR 00754-0987

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | TCAMB541 | PR | Yes |

## Other

- **Enumeration date:** 07/16/2008
- **Last updated:** 07/16/2008