Organization
INFINITY LIFE AMBULANCE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NEFTALY SANTANA 166793 (PRESIDENT)
(787) 679-0222
Entity
Organization
Contact information
Practice address
CALLED 12 #207, URB VEREDA, JURABO, PR 00778
(787) 649-0222
Mailing address
PO BOX 5193, CAGUAS, PR 00726-5193
(787) 649-0222
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
166793
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
166793
LICENCIA ESTADO
PR
01
—
4352808
LICENCIA CONDUCIR
PR
Enumeration date
07/10/2008
Last updated
07/10/2008
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