Organization
ANA L GUADALUPE SANTIAGO
Active
Other names
Odessa Medical Trasnport
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANA GUADALUPE SANTIAGO (OWNER)
(787) 466-3337
Entity
Organization
Contact information
Practice address
URB VILLA UNIVERSITARIA, CALLE LAFAYETTE 75, GUAYAMA, PR 00784
(787) 466-3337
Mailing address
PO BOX 836, GUAYAMA, PR 00785-0836
(787) 466-3337
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
TC 433
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TC433
AMBULANCE
PR
Enumeration date
01/12/2007
Last updated
02/17/2010
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