Organization
MADELINE POVENTUD MARQUEZ
Active
Other names
POVENTUDAMBULANCESERVICE
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MADELINE POVENTUD MARQUEZ (PROPIETARIA)
(787) 252-5086
Entity
Organization
Contact information
Practice address
BO NARANJO CARR2, AGUADA, PR 00602
(787) 252-5086
(787) 252-5086
Mailing address
P O BOX 915, AGUADA, PR 00602
(787) 252-5086
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
TC-AMB-274
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50020
PMC
PR
01
—
6904
AMERICAN HEALTH MEDICARE
PR
01
—
890395
MMM
PR
Enumeration date
08/07/2006
Last updated
08/19/2009
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