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Organization

YAVEH AMBULANCE, CORP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ARMANDO LICIAGA MEDINA (PRESIDENT)
(787) 374-6872
Entity
Organization

Contact information

Practice address
PARCELAS TERRANOVA, CALLE 1 CASA91, QUEBRADILLAS, PR 00678-0000
(787) 374-6872
Mailing address
PARCELAS TERRANOVA, CALLE 1 CASA91, QUEBRADILLAS, PR 00678-0000
(787) 374-6872

Taxonomy

Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
TC AMB 573
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
TC AMB 573
LIC. TCAMB 573
PR
Enumeration date
04/27/2009
Last updated
04/27/2009
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