# TIRU AMBULANCE CORP.

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

## Provider details

- **NPI number:** 1972862167
- **Authorized official:** MRS. RAQUEL TIRU (PRESIDENT)
- **Authorized official phone:** (787) 602-7157

## Contact information

- **Practice address:** CALLE 25 DE JULIO \# 17, YAUCO, PR 00698-3604
- **Practice address phone:** (787) 602-7157
- **Mailing address:** POST OFFICE BOX 2154, YAUCO, PR 00698
- **Mailing address phone:** (787) 602-7157

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 309832 | PR | Yes |

## Other

- **Enumeration date:** 05/09/2012
- **Last updated:** 05/09/2012
