# ST. PETER AMBULANCE

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

## Provider details

- **NPI number:** 1982785499
- **Authorized official:** DR. JAIME JORGE FLORES M.D. (PRESIDENT)
- **Authorized official phone:** (787) 839-4050

## Contact information

- **Practice address:** CARR 184 KM 0.8, BO. CACAO BAJO, PATILLAS, PR 00723
- **Practice address phone:** (787) 839-4050
- **Practice address fax:** (787) 839-4074
- **Mailing address:** PO BOX 1210, ARROYO, PR 00714-1210
- **Mailing address phone:** (787) 839-4050
- **Mailing address fax:** (787) 839-4074

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | TCAMB-332 | PR | Yes |

## Other

- **Enumeration date:** 10/18/2006
- **Last updated:** 06/24/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 7140019 | HUMANA HEALTH PLAN | PR |
| 01 | — | 890563 | MMM HEALTHCARE | PR |