# CITYWIDE CRITICAL CARE CORP

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

## Provider details

- **NPI number:** 1699539890
- **Authorized official:** LUIS TIRADO (PRESIDENT)
- **Authorized official phone:** (787) 671-2563

## Contact information

- **Practice address:** URB. EXT REXVILLE L-9 CALLE 9, BAYAMON, PR 00957
- **Practice address phone:** (787) 671-2563
- **Mailing address:** PO BOX 2455, BAYAMON, PR 00960-2455
- **Mailing address phone:** (787) 671-2563

## Taxonomy

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

## Other

- **Enumeration date:** 02/08/2024
- **Last updated:** 02/08/2024