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Organization
PEACH STATE AMBULANCE OF PR INC
Active
Organization
PEACH STATE AMBULANCE OF PR INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. YASMIN DE LACRUZ RUIZ (PRESIDENT)
(787) 213-7522
Entity
Organization
Contact information
Practice address
CARR NUM 2 KM 97.7, BO COCOS, QUEBRADILLAS, PR 00678-9998
(787) 213-7522
(787) 551-7104
Mailing address
58 CALLE SOCORRO PMB 22, QUEBRADILLAS, PR 00678-1854
(787) 213-7522
(787) 895-8282
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
TCAMB 646
PR
343900000X
Non-emergency Medical Transport (VAN)
—
NULL
Other
Enumeration date
06/16/2010
Last updated
11/13/2025
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