Organization
JERICO AMBULANCE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE TOLEDO (PRESIDENT)
(787) 556-5738
Entity
Organization
Contact information
Practice address
S14 AVE A, VEVE CALZADA, FAJARDO, PR 00738-3773
(787) 556-5738
Mailing address
PO BOX 723, RIO GRANDE, PR 00745-0723
(787) 556-5738
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
5502
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5502
PARAMEDIC LICENSE
PR
Enumeration date
02/07/2007
Last updated
08/22/2020
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