# AMBULANCIAS EMERGENCIAS DEL SUR

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

## Provider details

- **NPI number:** 1861421661
- **Authorized official:** JORGE LUIS SALIVA MANTILLA EMT (PRESIDENTE)
- **Authorized official phone:** (787) 843-6985

## Contact information

- **Practice address:** 3069 CRUZ ST. ELGICA, PONCE, PR 00717-3069
- **Practice address phone:** (787) 843-6985
- **Practice address fax:** (787) 290-4003
- **Mailing address:** PO BOX 692, MERCEDITA, PR 00715-0692
- **Mailing address phone:** (787) 843-6985
- **Mailing address fax:** (787) 290-4003

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | TC AMB 110 | PR | Yes |

## Other

- **Enumeration date:** 07/02/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 50515 | PREFERRED MEDICAL CHOICE | PR |
| 01 | — | 53511 | TRIPLE S REFORMA | PR |
| 01 | — | 7310409 | HUMANA REFORMA | PR |
| 01 | — | 890391 | MEDICARE Y MUCHO MAS | PR |
| 01 | — | 9003347 | ACCA | PR |