Organization
LIFE LINE MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROSA M ROSADO (VICE PRESIDENT)
(787) 410-0076
Entity
Organization
Contact information
Practice address
1046 AVE. LOS ASTROS - GOLDEN HILL, DORADO, PR 00646-1046
(787) 410-0076
(787) 621-4439
Mailing address
PO BOX 1140, VEGA ALTA, PR 00692-1140
(787) 410-0076
(787) 621-4439
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/27/2011
Last updated
04/27/2011
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