# YARIE & OMAR AMBULANCE INC

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

## Provider details

- **NPI number:** 1205033404
- **Authorized official:** MIRELLA DE JESUS (PRESIDENT)
- **Authorized official phone:** (787) 828-3880

## Contact information

- **Practice address:** CARRETERA 144 KM 2.8, JAYUYA, PR 00664
- **Practice address phone:** (787) 828-3880
- **Mailing address:** PO BOX 819, JAYUYA, PR 00664-0819
- **Mailing address phone:** (787) 828-3880

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | TC AMB 474 | PR | Yes |

## Other

- **Enumeration date:** 06/29/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | TC AMB 474 | AMBULANCE LAND | PR |