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Organization
ST. PETER AMBULANCE
Active
Organization
ST. PETER AMBULANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAIME JORGE FLORES M.D. (PRESIDENT)
(787) 839-4050
Entity
Organization
Contact information
Practice address
CARR 184 KM 0.8, BO. CACAO BAJO, PATILLAS, PR 00723
(787) 839-4050
(787) 839-4074
Mailing address
PO BOX 1210, ARROYO, PR 00714-1210
(787) 839-4050
(787) 839-4074
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
TCAMB-332
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7140019
HUMANA HEALTH PLAN
PR
01
—
890563
MMM HEALTHCARE
PR
Enumeration date
10/18/2006
Last updated
06/24/2008
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