# MOVIMED TRANSPORT LLC

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

## Provider details

- **NPI number:** 1275232621
- **Authorized official:** EULANDO PINERO GAGO (PRESIDENTE)
- **Authorized official phone:** (787) 445-0130

## Contact information

- **Practice address:** URB TOA ALTA HEIGTHS CALLE 27 AA46, TOA ALTA, PR 00953
- **Practice address phone:** (787) 445-0130
- **Mailing address:** HC 59 BOX 6500, AGUADA, PR 00602-9667
- **Mailing address phone:** (787) 560-6487
- **Mailing address fax:** (787) 868-0348

## Taxonomy

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

## Other

- **Enumeration date:** 02/24/2023
- **Last updated:** 02/13/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | ========= | — | PR |