Organization
EBENEZER AMBULANCE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE COLON MARRERO (PRESIDENTE)
(787) 721-7413
Entity
Organization
Contact information
Practice address
AVE FERNANDEZ JUNCOS PTA DE TIERRA, SAN JUAN, PR 00906-5095
(787) 721-7413
Mailing address
PO BOX 9065095, SAN JUAN, PR 00906-5095
(787) 721-7413
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
TC-AMB 420
PR
Other
Enumeration date
10/05/2006
Last updated
08/22/2020
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