Organization
EDGAR C RODRIGUEZ HEREDIA
Active
Other names
GLORIED AMBULANCE SERVICE
Organization subpart
No
Provider details
NPI number
Authorized official
EDGAR RODRIGUEZ (PRESIDENT)
(787) 262-0501
Entity
Organization
Contact information
Practice address
C20 CALLE 4, URB DEL CARMEN, CAMUY, PR 00627-2843
(787) 262-0501
Mailing address
PO BOX 566, CAMUY, PR 00627-0566
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
TC-AMB208
PR
Other
Enumeration date
11/07/2006
Last updated
06/26/2008
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