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Organization
MAYRA MARTINEZ
Active
Organization
MAYRA MARTINEZ
Active
Other names
GM Ambulance
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSE A GAUTIER EMT-P (ADMINISTRATOR)
17874203778
Entity
Organization
Contact information
Practice address
CARRETERA 849, BO. SANTO DOMINGO, TRUJILLO ALTO, PR 00976
(787) 420-3778
Mailing address
CALLE 5 BLOQUE G-9, ALTURAS DE VILLA FONTANA, CAROLINA, PR 00983
(787) 420-3778
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
TC-AMB-266
PR
Other
Enumeration date
08/30/2006
Last updated
08/24/2009
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