Organization
JES MAR AMBULANCE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MARA ANGELY CARRASQUILLO (PRESIDENTA)
(787) 627-7657
Entity
Organization
Contact information
Practice address
CARR 853 KM 13.6, BO CEDRO, CAROLINA, PR 00987
(787) 486-9604
Mailing address
HC 3 BOX 12080, CAROLINA, PR 00987
(787) 486-9604
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CK144A
NUMERO PROVEEDOR MEDICARE
PR
Enumeration date
02/12/2009
Last updated
01/12/2010
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