Organization
GLORIA AMBULANCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GUILLERMO D MORAN GOMEZ (PRESIDENT TREASURER)
(787) 595-6655
Entity
Organization
Contact information
Practice address
BO LIRIOS CARR 929 KM 0.3, JUNCOS, PR 00777
(787) 923-1788
Mailing address
PO BOX 1398, JUNCOS, PR 00777-1398
(787) 595-6655
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
04/05/2022
Last updated
04/06/2022
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