Organization
BLUE STAR AMBULANCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAGALY PACHECO (PRESIDENT)
(787) 202-2845
Entity
Organization
Contact information
Practice address
CARR 511 KM 0.6 BO. REAL ANON, COTO LAUREL, PR 00780
(787) 901-8334
(787) 936-7428
Mailing address
PO BOX 800481, COTO LAUREL, PR 00780-0481
(787) 901-8334
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PR
CSP
PR
Enumeration date
02/02/2023
Last updated
09/11/2023
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