Healthcare Provider Details

I. General information

NPI: 1538176664
Provider Name (Legal Business Name): PRIORITY LIFE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/02/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CALLLE PARIS 243 PMB 1737
SAN JUAN PR
00917
US

IV. Provider business mailing address

CALLE PARIS 159 BAJOS HATO REY
SAN JUAN PR
00917
US

V. Phone/Fax

Practice location:
  • Phone: 787-764-8319
  • Fax: 787-767-0073
Mailing address:
  • Phone: 787-764-8319
  • Fax: 787-767-0073

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License NumberTCAMB113
License Number StatePR

VIII. Authorized Official

Name: MRS. MIRIAM RESTREPO
Title or Position: ADMINISTRADOR
Credential:
Phone: 787-764-8319