Organization
PROFESSIONAL AMBULANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LUIS RODRIGUEZ (DIRECTOR)
(787) 844-1168
Entity
Organization
Contact information
Practice address
PARCELAS AMALIA MARIN, CALLE DORADO FINAL, PONCE, PR 00734
(787) 844-1168
(787) 844-2326
Mailing address
PO BOX 34477, PONCE, PR 00734-4477
(787) 844-1168
(787) 844-2326
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
TC AMB 130
PR
Other
Enumeration date
08/04/2006
Last updated
08/22/2020
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