# SEPULVEDA AMBULANCE SERVICE

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

## Provider details

- **NPI number:** 1629374111
- **Authorized official:** MR. ALEXIS SEPULVEDA (PRESIDENT)
- **Authorized official phone:** (787) 302-9639

## Contact information

- **Practice address:** B47 URB CABRERA, UTUADO, PR 00641-2209
- **Practice address phone:** (787) 302-9639
- **Practice address fax:** (787) 894-1128
- **Mailing address:** B47 URB CABRERA, UTUADO, PR 00641-2209
- **Mailing address phone:** (787) 302-9639
- **Mailing address fax:** (787) 894-1128

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 4447191 | PR | Yes |

## Other

- **Enumeration date:** 02/01/2011
- **Last updated:** 02/01/2011