Organization
PEACH STATE AMBULANCE OF PR INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. YASMIN DE LACRUZ RUIZ (PRESIDENT)
(787) 213-7522
Entity
Organization
Contact information
Practice address
CARR NUM 2 KM 97.7, BO COCOS, QUEBRADILLAS, PR 00678-9998
(787) 213-7522
(787) 551-7104
Mailing address
58 CALLE SOCORRO PMB 22, QUEBRADILLAS, PR 00678-1854
(787) 213-7522
(787) 895-8282
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
TCAMB 646
PR
343900000X
Non-emergency Medical Transport (VAN)
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Other
Enumeration date
06/16/2010
Last updated
11/13/2025
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