# ADVANCE LIFE CARE AMBULANCE LLC

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

## Provider details

- **NPI number:** 1740911528
- **Authorized official:** HECTOR MERCADO (PRESIDENT)
- **Authorized official phone:** (787) 702-1242

## Contact information

- **Practice address:** CARR 162 KM 1.4 INT BO ASOMANTE, SECTOR LAS ABEJAS, AIBONITO, PR 00705
- **Practice address phone:** (787) 702-1242
- **Mailing address:** PO BOX 704, AIBONITO, PR 00705-0704
- **Mailing address phone:** (787) 702-1242

## Taxonomy

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

## Other

- **Enumeration date:** 06/22/2022
- **Last updated:** 06/22/2022
