Organization
PREMEDICAL LIFE SUPPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRYAN ORTIZ (PRESIDENTE)
(787) 473-1983
Entity
Organization
Contact information
Practice address
CALLE 20 #34 BDA POLVORIN, CAYEY, PR 00736
(787) 473-1983
Mailing address
PO BOX 370657, CAYEY, PR 00737-0657
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Enumeration date
10/08/2020
Last updated
10/11/2020
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