# RICARDO E BONILLA CORTES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** JOSHUA PARAMEDIC AMBULANCE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881645935
- **Authorized official:** RICARDO E BONILLA CORTES (OWNER)
- **Authorized official phone:** (787) 319-4609

## Contact information

- **Practice address:** CARRETERA 467 KM 1.6 INT, BARRIO BORINQUEN, AGUADILLA, PR 00603-0000
- **Practice address phone:** (787) 319-4609
- **Practice address fax:** (787) 551-7104
- **Mailing address:** HC 1 BOX 17340, AGUADILLA, PR 00603-9364
- **Mailing address phone:** (787) 319-4609

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | TC AMB 383 | PR | Yes |

## Other

- **Enumeration date:** 05/13/2006
- **Last updated:** 06/03/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 991236 | PMC | PR |
| 01 | — | 999517 | MMM | PR |