# LIFE STAR MEDICAL TRANSPORT CORP

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

## Provider details

- **NPI number:** 1396794087
- **Authorized official:** MARIA SANZ (PRESIDENT)
- **Authorized official phone:** (787) 620-5267

## Contact information

- **Practice address:** CARRETERA 3 KM 15.3, EL COMANDANTE, CANOVANAS, PR 00729
- **Practice address phone:** (787) 620-5267
- **Mailing address:** PO BOX 1168, TRUJILLO ALTO, PR 00977-1168
- **Mailing address phone:** (787) 620-5267

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | TC AMB 279 | PR | Yes |

## Other

- **Enumeration date:** 05/09/2006
- **Last updated:** 08/22/2020