# DBA IRRIZARRY MEDICAL TRANSPORT

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

## Provider details

- **NPI number:** 1104649912
- **Authorized official:** HERIBERTO IRIZARRY (OWNER)
- **Authorized official phone:** (787) 214-2222

## Contact information

- **Practice address:** CARR 129 KM19.6 BO CALLEJONES, LARES, PR 00669
- **Practice address phone:** (787) 214-2222
- **Mailing address:** PO BOX 264, ANGELES, PR 00611-0264

## Taxonomy

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

## Other

- **Enumeration date:** 11/01/2024
- **Last updated:** 11/01/2024