# JOSE L JIMENEZ ACEVEDO

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pepino Ambulance Service
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619092079
- **Authorized official:** MR. JOSE LUIS JIMENEZ (DUENO)
- **Authorized official phone:** (787) 280-0334

## Contact information

- **Practice address:** AVE DR PEDRO CEBOLLERO NO 4, SAN SEBASTIAN, PR 00685
- **Practice address phone:** (787) 280-0334
- **Practice address fax:** (787) 280-0334
- **Mailing address:** PO BOX 270, SAN SEBASTIAN, PR 00685-0270
- **Mailing address phone:** (787) 280-0334

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | — | NULL | Yes |

## Other

- **Enumeration date:** 03/21/2007
- **Last updated:** 08/22/2020