# EMILIO RUIZ ROSA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** RUIZ MEDICAL AMBULANCE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346463551
- **Authorized official:** MR. EMILIO RUIZ (OWNER)
- **Authorized official phone:** (787) 896-0045

## Contact information

- **Practice address:** CARR 119 KM 26.6, SAN SRBASTIAN, PR 00685
- **Practice address phone:** (787) 896-0045
- **Mailing address:** PO BOX 591, SAN SEBASTIAN, PR 00685-0591
- **Mailing address phone:** (787) 896-0045
- **Mailing address fax:** (787) 926-0911

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | TCAMB213 | PR | Yes |

## Other

- **Enumeration date:** 04/10/2007
- **Last updated:** 08/22/2020