Organization
HEALTH CARE LIFE SUPPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
XAVIER RIOS NEGRON (PRESIDENTE)
(787) 459-8774
Entity
Organization
Contact information
Practice address
AH34 CALLE 11, BAYAMON, PR 00959-3709
(787) 459-8774
Mailing address
271 CALLE LUIS LOPEZ, VEGA BAJA, PR 00693-6230
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4712975
LICENSE
—
Enumeration date
11/18/2021
Last updated
11/18/2021
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