# VITAL CARE AMBULANCE LLC

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

## Provider details

- **NPI number:** 1487312542
- **Authorized official:** GLORIAN CORDOVA (PRESIDENTE)
- **Authorized official phone:** (787) 529-4504

## Contact information

- **Practice address:** 401 ANDALUCIA EDIF 401, OFICINA AN3, SAN JUAN, PR 00922-0998
- **Practice address phone:** (787) 438-8885
- **Mailing address:** URB PUERTO NUEVO, 362 PMB 203 AVE ANDALUCIA, SAN JUAN, PR 00920-4103
- **Mailing address phone:** (787) 423-8885

## Taxonomy

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

## Other

- **Enumeration date:** 12/06/2021
- **Last updated:** 07/24/2025