# LIFELINE AMBULANCE LLC

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

## Provider details

- **NPI number:** 1245904374
- **Authorized official:** EDWIN ORTEGA COTTE (PRESIDENT)
- **Authorized official phone:** (787) 777-1044

## Contact information

- **Practice address:** URB LAS LOMAS Q3 CARR 21, SAN JUAN, PR 00921
- **Practice address phone:** (787) 657-4696
- **Mailing address:** PO BOX 908, BAYAMON, PR 00960-0908
- **Mailing address phone:** (787) 657-4696

## Taxonomy

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

## Other

- **Enumeration date:** 08/03/2021
- **Last updated:** 12/15/2022