Provider Demographics
NPI:1245642891
Name:ABSOLIFE INC.
Entity type:Organization
Organization Name:ABSOLIFE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ANGEL
Authorized Official - Middle Name:M
Authorized Official - Last Name:SANTIAGO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-247-7053
Mailing Address - Street 1:PO BOX 6868
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00960-5868
Mailing Address - Country:US
Mailing Address - Phone:787-247-7053
Mailing Address - Fax:787-520-9456
Practice Address - Street 1:AVE LUIS MUNOZ MARIN
Practice Address - Street 2:REPARTO CAGUAX LOCAL C6 SUITE 2
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725-4618
Practice Address - Country:US
Practice Address - Phone:787-961-3330
Practice Address - Fax:787-520-9456
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-29
Last Update Date:2016-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies