Caribbean Life Support Transport Corp

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

TC AMB 560 Issued in PR

Legal business name

CARIBBEAN LIFE SUPPORT TRANSPORT CORP

Practice address

Carretera 110 KM 21.1
Bo. Ceiba Baja
Moca, PR 00676

Phone

(787) 903-1658

NPI assigned

Feb 19, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kermitt S Morales

Title

President

Phone

(787) 903-1658

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1235001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235001600000",
    "number": "1801035563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB VISTA VERDE 714 CALLE 16",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "00603",
            "telephone_number": "787-903-1658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARRETERA 110 KM 21.1",
            "address_2": "BO. CEIBA BAJA",
            "city": "MOCA",
            "state": "PR",
            "postal_code": "00676",
            "telephone_number": "787-903-1658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARIBBEAN LIFE SUPPORT TRANSPORT CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-19",
        "last_updated": "2009-02-19",
        "status": "A",
        "authorized_official_last_name": "MORALES",
        "authorized_official_first_name": "KERMITT",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-903-1658"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PR",
            "license": "TC AMB 560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mayte Calero-Recio, RPH
• Leslie Rosie Camacho Acevedo, M.D.
• Damaris Enid Cardona, SLP
• Leticia Cardona, RPH
• Yolanda Cardona
• Avelin M Caro Feliciano, MD
• Pedro Dionisio Castilloveitia, M.D.
• Andres F Castro Soto
• Giselle Castro
• Centro de Adiestramiento Terapias Y Desarrollo Educativo Profesional CSP

• All providers in Moca, PR
• Land Ambulance in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2009; 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.