# VITALIFE AMBULANCE

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

## Provider details

- **NPI number:** 1457078602
- **Authorized official:** ADA J RIVERA MACHADO (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (787) 932-7771

## Contact information

- **Practice address:** 1207 A AVENIDA AMERICO MIRANDA, SAN JUAN, PR 00921-1650
- **Practice address phone:** (787) 932-7771
- **Mailing address:** PO BOX 193596, SAN JUAN, PR 00919-3596
- **Mailing address phone:** (787) 932-7771

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | — | NULL | Yes |
| 343900000X | Non-emergency Medical Transport (VAN) | — | NULL | — |

## Other

- **Enumeration date:** 10/27/2022
- **Last updated:** 09/09/2025