Organization
ADVANCE LIFE CARE AMBULANCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HECTOR MERCADO (PRESIDENT)
(787) 702-1242
Entity
Organization
Contact information
Practice address
CARR 162 KM 1.4 INT BO ASOMANTE, SECTOR LAS ABEJAS, AIBONITO, PR 00705
(787) 702-1242
Mailing address
PO BOX 704, AIBONITO, PR 00705-0704
(787) 702-1242
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Enumeration date
06/22/2022
Last updated
06/22/2022
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