# J M TRANSPORT \#1 CORP

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

## Provider details

- **NPI number:** 1275289860
- **Authorized official:** JESSICA M GANDIA LUGO (OWNER)
- **Authorized official phone:** (939) 639-6697

## Contact information

- **Practice address:** CARR PR-484 KM 0.5 INT, CALLE LOS LUGO BO COCOS, QUEBRADILLAS, PR 00678
- **Practice address phone:** (939) 638-2296
- **Practice address fax:** (787) 551-7104
- **Mailing address:** PO BOX 339, QUEBRADILLAS, PR 00678-0339
- **Mailing address phone:** (939) 638-2296
- **Mailing address fax:** (787) 551-7104

## Taxonomy

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

## Other

- **Enumeration date:** 02/23/2022
- **Last updated:** 02/23/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | TCAMB-133748 | LICENCIA | PR |