Leoneland Ettienne Medical Response

NPI #1184154718 in Lares, Puerto Rico

Provider Information

NPI Number: 1184154718
Entity Type: Organization
Organization Name: Leoneland Ettienne Medical Response
Primary Specialty: Ambulance
Enumeration Date: Jun 15, 2017
Last Updated: Jul 13, 2018

Practice Location

Address: CARRETERA 129 KM 24.1 BO PILETAS
City: Lares
State: Puerto Rico
ZIP Code: 00669-0819
Phone: (787) 718-9709

Authorized Official

Name: ETTIENNE TORRES, MHSA
Title: PRESIDENTE/CEO
Phone: (787) 324-5401

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ambulance	341600000X	Primary

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