Organization
GRACIAS AMBULANCE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HECTOR GRACIA (OWNER)
(787) 605-8192
Entity
Organization
Contact information
Practice address
CALLE MENDEZ VIGO #183 0, MAYAQUEZ, PR 06082
(787) 832-0911
(787) 833-7927
Mailing address
PO BOX 753, HORUIGUEROS, PR 00660
(787) 832-0911
(787) 833-7927
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
TC AMB 86
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50087
PMC
PR
01
—
890405
MMM
PR
01
—
9002197
ACAA
PR
Enumeration date
12/04/2006
Last updated
12/10/2013
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