Organization
LIFE SHIELD AMBULANCE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS BRUNILDA BAEZ STELLA (PRESIDENT)
(787) 698-2506
Entity
Organization
Contact information
Practice address
406 AVE SAN CLAUDIO, SUITE 7, SAN JUAN, PR 00926-4117
(787) 698-2506
Mailing address
406 AVE SAN CLAUDIO, SUITE 7, SAN JUAN, PR 00926-4117
(787) 698-2506
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
TC - AMB 637
PR
Other
Enumeration date
02/09/2010
Last updated
12/06/2011
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