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Organization
JALEEN AMBULANCE INC
Active
Organization
JALEEN AMBULANCE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS JESSICA RODRIGUEZ (PRESIDENTA)
(787) 487-9578
Entity
Organization
Contact information
Practice address
CARR 848 KM 2.3, SAINT JUST, TRUJILLO ALTO, PR 00754
(787) 487-9578
Mailing address
HC 20, BOX 25409, SAN LORENZO, PR 00754
(787) 487-9578
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CB941A
NUMERO PROVEEDOR MEDICARE
PR
Enumeration date
01/09/2009
Last updated
01/12/2010
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