Organization
CRITICAL LIFE RESPONSE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAOLA M SERRA PEREZ (PRESIDENTE)
(939) 372-4261
Entity
Organization
Contact information
Practice address
266 CALLE MARINA # A104, AGUADA, PR 00602-2947
(939) 372-4261
Mailing address
HC 57 BOX 10398, AGUADA, PR 00602-9846
(939) 372-4261
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TCAMB-73310
CERTIFICADO DE AUTORIZACION
PR
Enumeration date
09/23/2024
Last updated
09/26/2024
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