# DIANA LOPEZ SOBA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Isla Ambulance Service
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790106029
- **Authorized official:** MRS. DIANA LOPEZ (ADMINISTRATOR)
- **Authorized official phone:** (787) 530-2364

## Contact information

- **Practice address:** 13 REPARTO FELICIANO, APTO 1A, MAYAGUEZ, PR 00681
- **Practice address phone:** (787) 530-2364
- **Mailing address:** PO BOX 1243, MAYAGUEZ, PR 00681-1243
- **Mailing address phone:** (787) 530-2364

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | TCAMB-446 | PR | Yes |

## Other

- **Enumeration date:** 01/06/2014
- **Last updated:** 09/12/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | TCAMB-446 | CSP AMBULANCE CERTIFICATION | PR |