Organization
DIVINO NINO MEDICAL TRANSPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LUIS F MORALES (PRESIDENTE)
(787) 845-2290
Entity
Organization
Contact information
Practice address
CARR 5507 KM 0.1, BO VELAZQUEZ, SANTA ISABEL, PR 00757
(787) 845-2290
Mailing address
PO BOX 1900, OROCOVIS, PR 00720-1900
(787) 845-2290
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
TC AMB 542
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TC AMB 542
COMISION DE SERVICIO PUBLICO
PR
Enumeration date
05/18/2009
Last updated
02/04/2023
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