# LEXMAYRIS AMBULANCE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578768230
- **Authorized official:** MR. OMAYRA SANTIAGO (PRESIDENT)
- **Authorized official phone:** (787) 896-3798

## Contact information

- **Practice address:** CARR 111 KM 14.3, PLAZA HATO ARRIBA, SAN SEBASTIAN, PR 00685
- **Practice address phone:** (787) 896-3798
- **Mailing address:** HC 4 BOX 48187, SAN SEBASTIAN, PR 00685
- **Mailing address phone:** (787) 896-3798

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | TCAMB 470 | PR | Yes |

## Other

- **Enumeration date:** 06/20/2007
- **Last updated:** 05/21/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 10131 | AMERICAN HEALTH MEDICARE | PR |
| 01 | — | 1578768230 | MSC CLASSICARE | PR |
| 01 | — | 50805 | PMC | PR |
| 01 | — | 890720 | MMM | PR |