Primary Life Support Corp.

NPI #1124354923 in Aguada, Puerto Rico

Provider Information

NPI Number
1124354923
Entity Type
Organization
Organization Name
Primary Life Support Corp.
Primary Specialty
Ambulance - Land Transport
Enumeration Date
Oct 29, 2009
Last Updated
Oct 29, 2009

Practice Location

Address
CARR 4417 KM 0.6 INTERIOR
Address 2
BO MAMEY
City
Aguada
ZIP Code
00602
Phone
(787) 629-9973

Authorized Official

Name
JOEL AROCHO MOLINA
Title
PRESIDENTE
Phone
(787) 629-9973

Specialties & Taxonomy Codes

Specialty
Ambulance - Land TransportLand Transport

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