Organization Active NPI

Critical Life Response LLC

  • Land Ambulance
  • Aguada, PR
National Provider Identifier
1407673247
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
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

Updated by the provider on Sep 26, 2024

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
TCAMB-73310OtherPRCERTIFICADO DE AUTORIZACION

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.