# MED SQUAD TRANSPORT LLC

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

## Provider details

- **NPI number:** 1205771995
- **Authorized official:** LYMARIE RIBOT VIDAL (PRESIDENT)
- **Authorized official phone:** (787) 593-6000

## Contact information

- **Practice address:** PARCELAS BELTRAN \#52, PUERTO REAL, FAJARDO, PR 00740
- **Practice address phone:** (787) 401-3001
- **Mailing address:** PO BOX 4309, PUERTO REAL, PR 00740-4309
- **Mailing address phone:** (787) 401-3001

## Taxonomy

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

## Other

- **Enumeration date:** 04/21/2026
- **Last updated:** 04/21/2026