# AGOSTO MEDICAL TRANSPORT, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043061138
- **Authorized official:** DASHIRAMARIE AGOSTO CRUZ (ASISTENTE ADMINISTRATIVO)
- **Authorized official phone:** (787) 612-1681

## Contact information

- **Practice address:** BO MANGO 188 CARR 31 CALLE POMARROSA, KM 19.8, JUNCOS, PR 00777
- **Practice address phone:** (787) 628-4863
- **Mailing address:** HC 23 BOX 6422, JUNCOS, PR 00777-9798
- **Mailing address phone:** (939) 326-8777

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | — | NULL | Yes |

## Other

- **Enumeration date:** 03/28/2024
- **Last updated:** 03/28/2024