Organization
PEDRO D SANTIAGO GUTIERREZ
Active
Other names
David Medical Transport
Organization subpart
No
Provider details
NPI number
Authorized official
PEDRO D SANTIAGO (DUENO)
(787) 505-3570
Entity
Organization
Contact information
Practice address
CALLE LOS ROBLES 643, URB CANAS HOUSING, PONCE, PR 00728
(787) 505-3560
Mailing address
CALLE CAMARON #2174, VILLA PAMPANOS, PONCE, PR 00716
(787) 505-3560
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
6102756
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1376
LIC PARAMEDICO
PR
Enumeration date
10/15/2013
Last updated
10/15/2013
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