# EFRAIN SOTO PEREZ

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- **Entity:** Organization
- **Status:** Active
- **Other names:** S.R. Ambulance Service
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336180918
- **Authorized official:** MR. EFRAIN SOTO PEREZ (OWNER-SUPERVISOR)
- **Authorized official phone:** (787) 882-0157

## Contact information

- **Practice address:** CARR. 463 KM. 0.1, SECTOR LA PALMA, AGUADILLA, PR 00603
- **Practice address phone:** (787) 882-0157
- **Practice address fax:** (787) 882-0157
- **Mailing address:** HC 4 BOX 48313, AGUADILLA, PR 00603-9798
- **Mailing address phone:** (787) 882-0157
- **Mailing address fax:** (787) 882-0157

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | TCAMB171 | PR | Yes |

## Other

- **Enumeration date:** 06/08/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 50024 | PMC | PR |
| 01 | — | 820941 | MMM | PR |