# SERGIO LOPEZ SOBA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SERGIO AMBULANCE SERVICE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851694392
- **Authorized official:** MR. SERGIO LOPEZ SOBA (DUENO)
- **Authorized official phone:** (787) 219-9207

## Contact information

- **Practice address:** COND TABAIBA GDNS, AVE HUNGRIA 276, PONCE, PR 00716-1384
- **Practice address phone:** (787) 219-9207
- **Practice address fax:** (787) 843-0376
- **Mailing address:** 5220 CALLE LORENCITA FERRER, EL TUQUE, PONCE, PR 00728-4832
- **Mailing address phone:** (787) 219-9207

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 2677CP | PR | Yes |

## Other

- **Enumeration date:** 12/06/2010
- **Last updated:** 03/03/2016