# BENJAMIN AVILES MELENDEZ

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- **Entity:** Organization
- **Status:** Active
- **Other names:** B A MEDICAL TRANSPORT
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114103801
- **Authorized official:** MR. BENJAMIN AVILES JR. (OWNER)
- **Authorized official phone:** (787) 369-5572

## Contact information

- **Practice address:** CARR. 6622 KM. 7 SECTOR LA LINEA, MOROVIS, PR 00687
- **Practice address phone:** (787) 369-5572
- **Mailing address:** HC 2 BOX 6532, MOROVIS, PR 00687
- **Mailing address phone:** (787) 369-5572

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | TC-AMB 512 | PR | Yes |

## Other

- **Enumeration date:** 01/14/2008
- **Last updated:** 02/14/2008