Organization
LIFE SUPPORT AMBULANCE, INC.
Active
Other names
IVELISSE MARTINEZ DE LEON
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. IVELISSE MARTINEZ (PRESIDENT)
(787) 548-6424
Entity
Organization
Contact information
Practice address
CARR 130 KM 10.3, BO CAMPO ALEGRE, HATILLO, PR 00659
(787) 548-6424
(787) 820-3198
Mailing address
PMB 073 PO BOX 8901, HATILLO, PR 00659
(787) 548-6424
(787) 820-3198
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
TCAMB
PR
Other
Enumeration date
02/20/2009
Last updated
02/20/2009
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