# RAFAEL PEREZ MOLINA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Angel Life Ambulance
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891916052
- **Authorized official:** RAFAEL PEREZ MOLINA (OWNER)
- **Authorized official phone:** (787) 820-7500

## Contact information

- **Practice address:** CARR NUM 2 KM 84.7 BO CARRIZALES, URB ALTURAS CALLE JARDIN SUITE 3, HATILLO, PR 00659-0000
- **Practice address phone:** (787) 820-7500
- **Practice address fax:** (787) 820-7500
- **Mailing address:** PO BOX 951, HATILLO, PR 00659-0951
- **Mailing address phone:** (787) 820-7500
- **Mailing address fax:** (787) 820-7500

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | TCAMB 406 | PR | Yes |

## Other

- **Enumeration date:** 05/02/2007
- **Last updated:** 07/25/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 57983AN | SSS REFORMA | PR |
| 01 | — | 991627 | PMC | PR |