# PABLO ROSARIO ORTIZ

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Cordova Ambulance Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790997617
- **Authorized official:** MR. PABLO ROSARIO (ADMINISTRADOR)
- **Authorized official phone:** (787) 734-0474

## Contact information

- **Practice address:** CARRETERA 929 KM 1, BO LIRIOS, JUNCOS, PR 00777
- **Practice address phone:** (787) 734-0474
- **Practice address fax:** (787) 734-0777
- **Mailing address:** PO BOX 2708, JUNCOS, PR 00777
- **Mailing address phone:** (787) 734-0474
- **Mailing address fax:** (787) 734-0777

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | TCAMB163 | PR | Yes |

## Other

- **Enumeration date:** 05/04/2007
- **Last updated:** 07/01/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 6107 | AMERICAN HEALTH MEDICARE | PR |
| 01 | — | 8100028 | HUMANA | PR |
| 01 | — | 890272 | MEDICARE Y MUCHO MAS | PR |
| 01 | — | 9003134 | ACAA | PR |
| 01 | — | PMC | 990295 | PR |