Organization
PRIMARY LIFE SUPPORT CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOEL AROCHO MOLINA (PRESIDENTE)
(787) 629-9973
Entity
Organization
Contact information
Practice address
CARR 4417 KM 0.6 INTERIOR, BO MAMEY, AGUADA, PR 00602
(787) 629-9973
Mailing address
P O BOX 1291, AGUADA, PR 00602
(787) 629-9973
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
CP-4739
PR
Other
Enumeration date
10/29/2009
Last updated
10/29/2009
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