# JUAN A SIERRA VEGA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** BROTHER AMBULANCE SERVICE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295753457
- **Authorized official:** JUAN A SIERRA VEGA (OWNER)
- **Authorized official phone:** (787) 448-3153

## Contact information

- **Practice address:** CARR 110 KM 20.0 BO CENTRO, MOCA, PR 00676
- **Practice address phone:** (787) 448-3153
- **Mailing address:** PO BOX 1777, ISABELA, PR 00662-1777
- **Mailing address phone:** (787) 448-3153

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | TC AMB 402 | PR | Yes |

## Other

- **Enumeration date:** 07/17/2006
- **Last updated:** 08/31/2007