# MIA AMBULANCE INC

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

## Provider details

- **NPI number:** 1295097632
- **Authorized official:** MR. JOSE RODRIGO MARTI RAMIREZ DE ARELLANO SR. (PRESIDENT)
- **Authorized official phone:** (787) 243-8358

## Contact information

- **Practice address:** 4309 CARR 2 \# KM433, ALGARROBO, VEGA BAJA, PR 00693-4141
- **Practice address phone:** (787) 679-4104
- **Practice address fax:** (787) 855-1573
- **Mailing address:** PO BOX 1449, VEGA BAJA, PR 00694-1449
- **Mailing address phone:** (787) 679-4104
- **Mailing address fax:** (787) 855-1573

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | TC641 | PR | Yes |

## Other

- **Enumeration date:** 06/12/2012
- **Last updated:** 05/08/2013