Organization
MEDICA MOVIL DE PUERTO RICO INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUIS ALEXIS RAMOS (PRESIDENT)
(787) 868-3171
Entity
Organization
Contact information
Practice address
CARR.441 KM 0.6 BO. GUANIQUILLA, AGUADA, PR 00602-9742
(787) 868-3171
Mailing address
PO BOX 1806, RINCON, PR 00677-1806
(787) 868-3171
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
TC-AMB-697
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TC-AMB-697
CSP OF PUERTO RICO LICENSE
PR
Enumeration date
01/17/2012
Last updated
10/19/2012
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