| Organization Name: | BENJAMIN AVILES MELENDEZ |
| NPI Number: | 1114103801 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BENJAMIN AVILES (OWNER) |
| Mailing Address: | Carr. 6622 Km. 7 Sector La Linea Morovis |
| State: | PR US |
| Postal Code: | 00687 |
| Phone Number: | 7873695572 |
| Fax Number: | |
| NPI Enumeration Date: | 01/14/2008 |
| NPI Last Update Date: | 02/14/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | TC-AMB 512 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |