| Organization Name: | RAFAEL ANTONIO RODRIGUEZ SERRANO |
| NPI Number: | 1033427539 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RAFAEL A. RODRIGUEZ (OWNER) |
| Mailing Address: | Hc-03 Box 11943 Camuy |
| State: | PR US |
| Postal Code: | 00627 |
| Phone Number: | 7874582644 |
| Fax Number: | 7875446541 |
| NPI Enumeration Date: | 09/17/2010 |
| NPI Last Update Date: | 11/29/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | TCAMB663 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |