Organization
MEDSTAR AMBULANCE SERVICE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETHZAIDA ACEVEDO (PRESIDENT)
(787) 617-9110
Entity
Organization
Contact information
Practice address
CARR. 467 KM 4.4 CAMASEYES, AGUADILLA, PR 00603
(787) 617-9110
(787) 890-0724
Mailing address
137 HARRISON, AGUADILLA, PR 00603-1503
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
TC-AMB - 625
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
186823
REGISTRO INC
PR
Enumeration date
04/23/2010
Last updated
04/23/2010
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