# LIFE LINK AMBULANCE CORP

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

## Provider details

- **NPI number:** 1376738914
- **Authorized official:** WANDA SANTIAGO (PRESIDENT)
- **Authorized official phone:** (787) 366-7577

## Contact information

- **Practice address:** J13 CALLE 2, URB. BRISAS DEL MAR, LUQUILLO, PR 00773-2458
- **Practice address phone:** (787) 366-7577
- **Mailing address:** PO BOX 31003, SAN JUAN, PR 00929-2003
- **Mailing address phone:** (787) 366-7577

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | TC-AMB-492 | PR | Yes |

## Other

- **Enumeration date:** 09/06/2007
- **Last updated:** 09/06/2007