# KYSTAL AMBULANCE CORPORATION

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

## Provider details

- **NPI number:** 1699866608
- **Authorized official:** MR. CARLOS A RIPOLL (GERENTE GENERAL)
- **Authorized official phone:** (787) 316-3219

## Contact information

- **Practice address:** CARR 185 KM 8.1, BO CAMPO RICO, CANOVANAS, PR 00729-0085
- **Practice address phone:** (787) 256-1233
- **Practice address fax:** (787) 731-4643
- **Mailing address:** PMB 20000, BOX 85, CANOVANAS, PR 00729
- **Mailing address phone:** (787) 256-1233
- **Mailing address fax:** (787) 731-4643

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | TC-AMB 315 | PR | Yes |

## Other

- **Enumeration date:** 09/27/2006
- **Last updated:** 09/13/2010