Organization
MED CODE AMBULANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWIN IRIZARRY SR. (OWNER)
(787) 239-5463
Entity
Organization
Contact information
Practice address
HC 1 BOX 6168, GUAYNABO, PR 00971-9541
(787) 239-5463
Mailing address
HC 1 BOX 6168, GUAYNABO, PR 00971-9541
(787) 239-5463
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
1584096
PR
Other
Enumeration date
08/21/2008
Last updated
08/21/2008
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