Healthcare Provider Details

I. General information

NPI: 1255043824
Provider Name (Legal Business Name): JL CRITICAL TRANSPORT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2022
Last Update Date: 12/15/2022
Certification Date: 12/15/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 CALLE ACEVEDO
LARES PR
00669-2502
US

IV. Provider business mailing address

PO BOX 1880
BAYAMON PR
00960-1880
US

V. Phone/Fax

Practice location:
  • Phone: 787-241-6590
  • Fax: 787-777-1577
Mailing address:
  • Phone: 787-241-6590
  • Fax: 787-777-1577

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: JOSE A LUGO GUERRERO
Title or Position: PRESIDENTE
Credential:
Phone: 939-227-8783