# PROFESSIONAL AMBULANCE

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

## Provider details

- **NPI number:** 1790793743
- **Authorized official:** MR. LUIS RODRIGUEZ (DIRECTOR)
- **Authorized official phone:** (787) 844-1168

## Contact information

- **Practice address:** PARCELAS AMALIA MARIN, CALLE DORADO FINAL, PONCE, PR 00734
- **Practice address phone:** (787) 844-1168
- **Practice address fax:** (787) 844-2326
- **Mailing address:** PO BOX 34477, PONCE, PR 00734-4477
- **Mailing address phone:** (787) 844-1168
- **Mailing address fax:** (787) 844-2326

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | TC AMB 130 | PR | Yes |

## Other

- **Enumeration date:** 08/04/2006
- **Last updated:** 08/22/2020