# ANA L GUADALUPE SANTIAGO

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Odessa Medical Trasnport
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528118312
- **Authorized official:** MRS. ANA GUADALUPE SANTIAGO (OWNER)
- **Authorized official phone:** (787) 466-3337

## Contact information

- **Practice address:** URB VILLA UNIVERSITARIA, CALLE LAFAYETTE 75, GUAYAMA, PR 00784
- **Practice address phone:** (787) 466-3337
- **Mailing address:** PO BOX 836, GUAYAMA, PR 00785-0836
- **Mailing address phone:** (787) 466-3337

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | TC 433 | PR | Yes |

## Other

- **Enumeration date:** 01/12/2007
- **Last updated:** 02/17/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | TC433 | AMBULANCE | PR |