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Organization
RICARDO E BONILLA CORTES
Active
Organization
RICARDO E BONILLA CORTES
Active
Other names
JOSHUA PARAMEDIC AMBULANCE
Organization subpart
No
Provider details
NPI number
Authorized official
RICARDO E BONILLA CORTES (OWNER)
(787) 319-4609
Entity
Organization
Contact information
Practice address
CARRETERA 467 KM 1.6 INT, BARRIO BORINQUEN, AGUADILLA, PR 00603-0000
(787) 319-4609
(787) 551-7104
Mailing address
HC 1 BOX 17340, AGUADILLA, PR 00603-9364
(787) 319-4609
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
TC AMB 383
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
991236
PMC
PR
01
—
999517
MMM
PR
Enumeration date
05/13/2006
Last updated
06/03/2013
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