# JALEEN AMBULANCE INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1730326901
- **Authorized official:** MISS JESSICA RODRIGUEZ (PRESIDENTA)
- **Authorized official phone:** (787) 487-9578

## Contact information

- **Practice address:** CARR 848 KM 2.3, SAINT JUST, TRUJILLO ALTO, PR 00754
- **Practice address phone:** (787) 487-9578
- **Mailing address:** HC 20, BOX 25409, SAN LORENZO, PR 00754
- **Mailing address phone:** (787) 487-9578

## Taxonomy

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

## Other

- **Enumeration date:** 01/09/2009
- **Last updated:** 01/12/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | CB941A | NUMERO PROVEEDOR MEDICARE | PR |