Organization
MEDIC LIFE SUPPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WASLEY RESTO COLON (PRESIDENT)
(787) 210-1400
Entity
Organization
Contact information
Practice address
CARR 14 KM 13.2 URB ORTA LOCAL NUM 5, JUANA DIAZ, PR 00795
(787) 210-1400
(787) 936-7428
Mailing address
139 CALLE B, URB LA VEGA, VILLALBA, PR 00766
(787) 210-1400
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Enumeration date
06/09/2023
Last updated
06/09/2023
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