Organization
AMBULANCIAS EMERGENCIAS DEL SUR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE LUIS SALIVA MANTILLA EMT (PRESIDENTE)
(787) 843-6985
Entity
Organization
Contact information
Practice address
3069 CRUZ ST. ELGICA, PONCE, PR 00717-3069
(787) 843-6985
(787) 290-4003
Mailing address
PO BOX 692, MERCEDITA, PR 00715-0692
(787) 843-6985
(787) 290-4003
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
TC AMB 110
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50515
PREFERRED MEDICAL CHOICE
PR
01
—
53511
TRIPLE S REFORMA
PR
01
—
7310409
HUMANA REFORMA
PR
01
—
890391
MEDICARE Y MUCHO MAS
PR
01
—
9003347
ACCA
PR
Enumeration date
07/02/2006
Last updated
08/22/2020
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