# MUSSA AMBULANCE LLC

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

## Provider details

- **NPI number:** 1881435584
- **Authorized official:** MR. DAVID DE JESUS (PRESIDENT)
- **Authorized official phone:** (787) 383-6822

## Contact information

- **Practice address:** CARR 779 KM 7.3, COMERIO, PR 00782
- **Practice address phone:** (787) 383-6822
- **Mailing address:** HC 2 BOX 5370, COMERIO, PR 00782-9621
- **Mailing address phone:** (787) 383-6822

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | — | NULL | Yes |

## Other

- **Enumeration date:** 06/05/2024
- **Last updated:** 06/05/2024