# MEDGO TRANSPORT LLC

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

## Provider details

- **NPI number:** 1255058665
- **Authorized official:** MR. JOSE J MORENO VP (VICEPRESIDENT)
- **Authorized official phone:** (787) 245-0000

## Contact information

- **Practice address:** URB PUERTO NUEVO, AVE ANDALUCIA \#505, SAN JUAN, PR 00919
- **Practice address phone:** (787) 245-0000
- **Mailing address:** B5 ST. TABONUCO, SUITE 216 PMB 192, GUAYNABO, PR 00968-0096
- **Mailing address phone:** (787) 245-0000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 342000000X | Transportation Network Company | — | NULL | Yes |

## Other

- **Enumeration date:** 10/26/2022
- **Last updated:** 10/26/2022
