Provider Demographics
NPI:1326231085
Name:LIFE FLIGHT OF PUERTO RICO INC.
Entity Type:Organization
Organization Name:LIFE FLIGHT OF PUERTO RICO INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:FRANCES
Authorized Official - Middle Name:M
Authorized Official - Last Name:VAZQUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-289-2701
Mailing Address - Street 1:PO BOX 13638
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00908-3638
Mailing Address - Country:US
Mailing Address - Phone:787-289-2701
Mailing Address - Fax:787-289-9090
Practice Address - Street 1:VIA PRINCIPAL HANGAR #4 SUR
Practice Address - Street 2:ISLA GRANDE AIRPORT
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00907-0000
Practice Address - Country:US
Practice Address - Phone:787-289-2701
Practice Address - Fax:787-289-9090
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-24
Last Update Date:2007-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416A0800XTransportation ServicesAmbulanceAir Transport