Organization
CARRILLO AMBULANCE CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ISMAEL CORDERO SOSA (PRESIDENT)
(787) 897-1444
Entity
Organization
Contact information
Practice address
AVE LOS PATRIOTAS CARR 111, KM 2.9, LARES, PR 00669-0001
(787) 897-1444
(787) 544-1377
Mailing address
AVE LOS PATRIOTAS CARR 111, KM 2.9, LARES, PR 00669-0001
(787) 897-1444
(787) 544-1377
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
TCAMB 613
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TCAMB 613
LIC COMISION
PR
Enumeration date
08/05/2009
Last updated
06/10/2014
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