# CARIBBEAN LIFE SUPPORT TRANSPORT CORP

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

## Provider details

- **NPI number:** 1801035563
- **Authorized official:** KERMITT S MORALES (PRESIDENT)
- **Authorized official phone:** (787) 903-1658

## Contact information

- **Practice address:** CARRETERA 110 KM 21.1, BO. CEIBA BAJA, MOCA, PR 00676
- **Practice address phone:** (787) 903-1658
- **Mailing address:** URB VISTA VERDE 714 CALLE 16, AGUADILLA, PR 00603
- **Mailing address phone:** (787) 903-1658

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | TC AMB 560 | PR | Yes |

## Other

- **Enumeration date:** 02/19/2009
- **Last updated:** 02/19/2009