# CENTRAL MEDICAL TRANSPORT LLC

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

## Provider details

- **NPI number:** 1154938918
- **Authorized official:** NELSON R REPOLLET SR. (PRESIDENT)
- **Authorized official phone:** (787) 319-9380

## Contact information

- **Practice address:** CARR 157 KM 6.7 BO CACAO, SECTOR LA ALTURITA, OROCOVIS, PR 00720
- **Practice address phone:** (787) 319-9380
- **Mailing address:** HC 1 BOX 5981, CIALES, PR 00638-9699

## Taxonomy

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

## Other

- **Enumeration date:** 09/25/2020
- **Last updated:** 09/25/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 123456789 | SERVICIO DE AMBULANCIA | — |
