# MIREYA JIMENEZ-SEGARRA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** JIMENEZ AMBULANCE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639422397
- **Authorized official:** MS. MIREYA JIMENEZ-SEGARRA (PRESIDENT)
- **Authorized official phone:** (787) 972-0381

## Contact information

- **Practice address:** CARR 111 KM 17.1, BO GUATEMALA SECT FELIX VELEZ, SAN SEBASTIAN, PR 00685-9996
- **Practice address phone:** (787) 972-0381
- **Practice address fax:** (787) 551-7104
- **Mailing address:** PO BOX 736, SAN SEBASTIAN, PR 00685-0736
- **Mailing address phone:** (787) 972-0381

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | TCAMB-701 | PR | Yes |

## Other

- **Enumeration date:** 10/18/2012
- **Last updated:** 03/22/2013