Active NPI
Critical Life Response LLC
- Land Ambulance
- Aguada, PR
National Provider Identifier
1407673247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- CRITICAL LIFE RESPONSE LLC
- Practice address
- 266 Calle Marina # A104
Aguada, PR 00602-2947 - Phone
- (939) 372-4261
- NPI assigned
- Sep 23, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Paola M Serra Perez
- Title
- Presidente
- Phone
- (939) 372-4261
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
266 Calle Marina # A104
Aguada, PR 00602-2947
Mailing address
HC 57 Box 10398
Aguada, PR 00602-9846
Phone (939) 372-4261
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| TCAMB-73310 | Other | PR | CERTIFICADO DE AUTORIZACION |
National Provider Directory
National Provider DirectoryLocations
266 Calle Marina
#A104
Aguada, PR 00602
Phone (939) 372-4261
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727049600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1727308800000",
"number": "1407673247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 57 BOX 10398",
"city": "AGUADA",
"state": "PR",
"postal_code": "006029846",
"telephone_number": "939-372-4261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "266 CALLE MARINA # A104",
"city": "AGUADA",
"state": "PR",
"postal_code": "006022947",
"telephone_number": "939-372-4261"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CRITICAL LIFE RESPONSE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-09-23",
"last_updated": "2024-09-26",
"certification_date": "2024-09-26",
"status": "A",
"authorized_official_last_name": "SERRA PEREZ",
"authorized_official_first_name": "PAOLA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENTE",
"authorized_official_telephone_number": "939-372-4261"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CERTIFICADO DE AUTORIZACION",
"identifier": "TCAMB-73310",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Aguada, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.