# LIFE CARE MEDICAL TRANSPORT INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** LIFE CARE MEDICAL TRANSPORT INC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093472011
- **Authorized official:** JACQUELINE ROMERO GONZALEZ (PRESIDENTE)
- **Authorized official phone:** (787) 236-0563

## Contact information

- **Practice address:** CARR 111 KM 6.3 BO. PUEBLO, MOCA, PR 00676
- **Practice address phone:** (787) 236-0563
- **Practice address fax:** (787) 777-1577
- **Mailing address:** PO BOX 382, MOCA, PR 00676-0382
- **Mailing address phone:** (787) 236-0563
- **Mailing address fax:** (787) 777-1577

## Taxonomy

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

## Other

- **Enumeration date:** 11/24/2021
- **Last updated:** 11/24/2021