Organization
CARIBBEAN LIFE SUPPORT TRANSPORT CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KERMITT S MORALES (PRESIDENT)
(787) 903-1658
Entity
Organization
Contact information
Practice address
CARRETERA 110 KM 21.1, BO. CEIBA BAJA, MOCA, PR 00676
(787) 903-1658
Mailing address
URB VISTA VERDE 714 CALLE 16, AGUADILLA, PR 00603
(787) 903-1658
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
TC AMB 560
PR
Other
Enumeration date
02/19/2009
Last updated
02/19/2009
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