Organization
JUAN A SIERRA VEGA
Active
Other names
BROTHER AMBULANCE SERVICE
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN A SIERRA VEGA (OWNER)
(787) 448-3153
Entity
Organization
Contact information
Practice address
CARR 110 KM 20.0 BO CENTRO, MOCA, PR 00676
(787) 448-3153
Mailing address
PO BOX 1777, ISABELA, PR 00662-1777
(787) 448-3153
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
TC AMB 402
PR
Other
Enumeration date
07/17/2006
Last updated
08/31/2007
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