# JM ALBULANCE

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

## Provider details

- **NPI number:** 1992335830
- **Authorized official:** JOSE O MERCADO MEDINA (PRESIDENT)
- **Authorized official phone:** (939) 243-7223

## Contact information

- **Practice address:** 157 CALLE CELIS AGUILERA, FAJARDO, PR 00738
- **Practice address phone:** (939) 243-7223
- **Mailing address:** PO BOX 239, FAJARDO, PR 00738
- **Mailing address phone:** (939) 243-7223

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | — | NULL | Yes |

## Other

- **Enumeration date:** 01/20/2020
- **Last updated:** 01/20/2020
