# MEDICA MOVIL DE PUERTO RICO INC.

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

## Provider details

- **NPI number:** 1821369257
- **Authorized official:** LUIS ALEXIS RAMOS (PRESIDENT)
- **Authorized official phone:** (787) 868-3171

## Contact information

- **Practice address:** CARR.441 KM 0.6 BO. GUANIQUILLA, AGUADA, PR 00602-9742
- **Practice address phone:** (787) 868-3171
- **Mailing address:** PO BOX 1806, RINCON, PR 00677-1806
- **Mailing address phone:** (787) 868-3171

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | TC-AMB-697 | PR | Yes |

## Other

- **Enumeration date:** 01/17/2012
- **Last updated:** 10/19/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | TC-AMB-697 | CSP OF PUERTO RICO LICENSE | PR |