Organization
KYSTAL AMBULANCE CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARLOS A RIPOLL (GERENTE GENERAL)
(787) 316-3219
Entity
Organization
Contact information
Practice address
CARR 185 KM 8.1, BO CAMPO RICO, CANOVANAS, PR 00729-0085
(787) 256-1233
(787) 731-4643
Mailing address
PMB 20000, BOX 85, CANOVANAS, PR 00729
(787) 256-1233
(787) 731-4643
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
TC-AMB 315
PR
Other
Enumeration date
09/27/2006
Last updated
09/13/2010
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