# WILLIAM DE JESUS CAMACHO

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PRE HOSPITAL EMERGENCY RESOPONSE SYSTEM
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689611873
- **Authorized official:** MRS. WILLIAM DE JESUS (OWNER SHIP)
- **Authorized official phone:** (787) 933-6703

## Contact information

- **Practice address:** CARR. 111 INT 123, UTUADO, PR 00641-2091
- **Practice address phone:** (787) 933-6703
- **Practice address fax:** (787) 933-6703
- **Mailing address:** PO BOX 2091, UTUADO, PR 00641-2091
- **Mailing address phone:** (787) 933-6703
- **Mailing address fax:** (787) 933-6703

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | TCAMB326 | PR | Yes |

## Other

- **Enumeration date:** 05/31/2006
- **Last updated:** 09/06/2007
