Organization
ADVANCE LIFE SUPPORT
Active
Other names
ALS
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEXTER R VAZQUEZ PARAMEDIC (CEO)
(787) 960-4628
Entity
Organization
Contact information
Practice address
F24 CALLE NABORIA, CAGUAX, CAGUAS, PR 00725-3308
(787) 960-4628
Mailing address
F24 CALLE NABORIA, CAGUAX, CAGUAS, PR 00725-3308
(787) 960-4628
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
—
Other
Enumeration date
02/17/2009
Last updated
02/17/2009
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