# FIVE STAR CARE AMBULANCE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** FIVE STAR AMBULANCE LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790563351
- **Authorized official:** KENNIER FERNANDEZ (PRESIDENT)
- **Authorized official phone:** (787) 942-6356

## Contact information

- **Practice address:** URBANIZACION RIO PIEDRAS HEIGHTS, CALLE PARANA 1711, SAN JUAN, PR 00926
- **Practice address phone:** (787) 942-6356
- **Mailing address:** HC 1 BOX 7434, AGUAS BUENAS, PR 00703-9737
- **Mailing address phone:** (787) 942-6356

## Taxonomy

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

## Other

- **Enumeration date:** 09/15/2023
- **Last updated:** 04/29/2024