# VITALINE AMBULANCE LLC

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

## Provider details

- **NPI number:** 1063075943
- **Authorized official:** MISS ADA J RIVERA MACHADO (PRESIDETE)
- **Authorized official phone:** (939) 645-6730

## Contact information

- **Practice address:** 1207B AVENIDA AMERICO MIRANDA, SAN JUAN, PR 00921-1650
- **Practice address phone:** (787) 910-5152
- **Mailing address:** PO BOX 193596, SAN JUAN, PR 00919-3596

## Taxonomy

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

## Other

- **Enumeration date:** 04/17/2019
- **Last updated:** 09/08/2025