# MAYRA MARTINEZ

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

## Provider details

- **NPI number:** 1841300423
- **Authorized official:** MR. JOSE A GAUTIER EMT-P (ADMINISTRATOR)
- **Authorized official phone:** 17874203778

## Contact information

- **Practice address:** CARRETERA 849, BO. SANTO DOMINGO, TRUJILLO ALTO, PR 00976
- **Practice address phone:** (787) 420-3778
- **Mailing address:** CALLE 5 BLOQUE G-9, ALTURAS DE VILLA FONTANA, CAROLINA, PR 00983
- **Mailing address phone:** (787) 420-3778

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | TC-AMB-266 | PR | Yes |

## Other

- **Enumeration date:** 08/30/2006
- **Last updated:** 08/24/2009