# MICAELA LIFE AMBULANCE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023861010
- **Authorized official:** ROBERTO CRUZ (PRESIDENT)
- **Authorized official phone:** (787) 718-7050

## Contact information

- **Practice address:** 100 BLVD JIMMY TORRES, YAUCO, PR 00698-2847
- **Practice address phone:** (787) 718-7050
- **Mailing address:** PO BOX 1081, PENUELAS, PR 00624-1081
- **Mailing address phone:** (787) 718-7050

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | — | NULL | Yes |

## Other

- **Enumeration date:** 04/09/2024
- **Last updated:** 04/09/2024