Organization
DIANA LOPEZ
Active
Other names
Isla Ambulance
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA LOPEZ (OWNER)
(787) 530-2364
Entity
Organization
Contact information
Practice address
REPARTO FELICIANO # 3, APARTAMENTO 1 A, MAYAGUEZ, PR 00681
(787) 530-2364
(787) 259-3292
Mailing address
AVE CORAZON 1020, PMB 7999 BUZON 181, MAYAGUEZ, PR 00680
(787) 530-2364
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
P1122
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TC AMB 446
COMISION SERVICIO PUBLICO
PR
Enumeration date
05/11/2007
Last updated
08/22/2020
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