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Organization
LUCIANO ROMAN GONZALEZ
Active
Organization
LUCIANO ROMAN GONZALEZ
Active
Other names
SUPER AMBULANCE SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LUCIANO ROMAN (OWNER-ADMINISTRATOR)
(787) 898-4442
Entity
Organization
Contact information
Practice address
CARR #2 KM. 95.3, BO. YEGUADA, CAMUY, PR 00627
(787) 898-4442
(787) 898-4442
Mailing address
PO BOX 458, QUEBRADILLAS, PR 00678-0458
(787) 898-4442
(787) 898-4442
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
TCAMB334
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50518
AMBULANCE SERVICE
PR
01
—
56917
AMBULANCE SERVICES
PR
01
—
9004424
AMBULANCE SERVICE
PR
Enumeration date
07/18/2006
Last updated
08/22/2020
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