Organization
STAR AMBULANCE SERVICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OMAR E LOPEZ (PRESIDENT)
(787) 408-0637
Entity
Organization
Contact information
Practice address
ROAD 457, BO PLANAS, ISABELA, PR 00662
(787) 408-0637
(787) 830-5404
Mailing address
HC 3 BOX 17278, QUEBRADILLAS, PR 00678-9826
(787) 408-0637
(787) 830-5404
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
TC AMB 378
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50618
PMC
PR
Enumeration date
06/02/2006
Last updated
05/20/2008
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