# STAR LIFE LLC

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

## Provider details

- **NPI number:** 1598369597
- **Authorized official:** ALFREDO CORTES (PRESIDENTE)
- **Authorized official phone:** (787) 451-4982

## Contact information

- **Practice address:** CARR \# 2 KM 137.8 INT BO. CERRO GORDO, AGUADA, PR 00602-9667
- **Practice address phone:** (787) 451-4982
- **Practice address fax:** (787) 868-0348
- **Mailing address:** HC 59 BOX 6502, AGUADA, PR 00602-9667
- **Mailing address phone:** (787) 451-4982
- **Mailing address fax:** (787) 868-0348

## Taxonomy

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

## Other

- **Enumeration date:** 11/30/2020
- **Last updated:** 05/06/2024