=====================================================
General NPI Number Information
=====================================================
NPI Number | 1942190798
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | BEST LIFE CARE LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/03/2025
-----------------------------------------------------
Last Update Date | 07/03/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | CARR 129 KM 15.5 BO BAYANEY
-----------------------------------------------------
City | HATILLO
-----------------------------------------------------
State | PR
-----------------------------------------------------
Zip | 00659
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 939-273-7342
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 9 AVE 8
-----------------------------------------------------
City | MANATI
-----------------------------------------------------
State | PR
-----------------------------------------------------
Zip | 00674-5638
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 939-273-7342
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENTE
-----------------------------------------------------
Name | ALEXANDER VEGA
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 939-273-7342
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 3416L0300X
-----------------------------------------------------
Taxonomy Name | Land Ambulance
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------