Organization
LUIS F. MORALES VAZQUEZ
Active
Other names
DIVINO NINO MEDICAL TRANSPORT
Organization subpart
No
Provider details
NPI number
Authorized official
LUIS F MORALES (OWNER)
(787) 299-3710
Entity
Organization
Contact information
Practice address
63 CALLE BALDORIOTY, SANTA ISABEL, PR 00757-2615
(787) 845-2290
Mailing address
PO BOX 1900, OROCOVIS, PR 00720-1900
(787) 299-3710
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TCAMB442
PERMISO COMISION
PR
Enumeration date
03/27/2007
Last updated
08/22/2020
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