Organization
SHADDAI AMBULANCE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEJANDRO DE JESUS BURGOS (PRESIDENT)
(787) 397-7615
Entity
Organization
Contact information
Practice address
BO HIGUERO CARR 150 KM 7.3, VILLALBA, PR 00766
(787) 397-7615
Mailing address
HC 2 BOX 4467, VILLALBA, PR 00766-9757
(787) 397-7615
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Enumeration date
02/21/2023
Last updated
02/21/2023
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