# RENAL CARE AMBULANCE, INC.

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

## Provider details

- **NPI number:** 1679584122
- **Authorized official:** MRS. MARITZA A RODRIGUEZ (PRESIDENT)
- **Authorized official phone:** (787) 751-1374

## Contact information

- **Practice address:** AVE. 65 INFANTERIA KM 2.0, OFFICE 22, SAN JUAN, PR 00926-1910
- **Practice address phone:** (787) 754-8361
- **Mailing address:** PO BOX 194000, SUITE114, SAN JUAN, PR 00919-4000
- **Mailing address phone:** (787) 751-1374
- **Mailing address fax:** (787) 767-4202

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | TC-AMB-328 | PR | Yes |

## Other

- **Enumeration date:** 08/10/2006
- **Last updated:** 08/22/2020