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Organization
DIANA LOPEZ SOBA
Active
Organization
DIANA LOPEZ SOBA
Active
Other names
Isla Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIANA LOPEZ (ADMINISTRATOR)
(787) 530-2364
Entity
Organization
Contact information
Practice address
13 REPARTO FELICIANO, APTO 1A, MAYAGUEZ, PR 00681
(787) 530-2364
Mailing address
PO BOX 1243, MAYAGUEZ, PR 00681-1243
(787) 530-2364
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
TCAMB-446
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TCAMB-446
CSP AMBULANCE CERTIFICATION
PR
Enumeration date
01/06/2014
Last updated
09/12/2014
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