# HUMACAO CRITICAL CARE INC

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

## Provider details

- **NPI number:** 1205108081
- **Authorized official:** MIGUEL A CARDONA (PRESIDENT)
- **Authorized official phone:** (787) 514-8125

## Contact information

- **Practice address:** URB VILLA ORIENTE CALLE A NUM 47, HUMACAO, PR 00791
- **Practice address phone:** (787) 514-8125
- **Mailing address:** URB VILLA ORIENTE CALLE A NUM 47, HUMACAO, PR 00791
- **Mailing address phone:** (787) 514-8125

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | TC AMB 686 | PR | Yes |

## Other

- **Enumeration date:** 02/08/2012
- **Last updated:** 02/08/2012