Paramedic and EMT expire licenses three (3) years after issuance. They can be renewed through the Registry of Health Professionals of the Department of Health for the same previous term. Article 17 (20 L.P.R.A. § 3467)
 
Requirements for Paramedics:
Maintain certification level through a refresher course based on the curriculum established by the Federal Department of Transportation OR complete 48 hours of continuing education. Article 17 (20 L.P.R.A. § 3467) (e)
 
Requirements for EMTs:
Maintain certification level through a refresher course based on the curriculum established by the Federal Department of Transportation OR complete 30 hours of continuing education. Article 17 (20 L.P.R.A. § 3467) (e)