# MMA TRANSMEDIC AMBULANCE SERVICES CORP

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

## Provider details

- **NPI number:** 1285966648
- **Authorized official:** MR. JOSE A GAUTIER EMT-P, FP-C, CCEMT-P (DIRECTOR)
- **Authorized official phone:** (787) 420-3778

## Contact information

- **Practice address:** 901 CALLE VINYATER, URB COUNTRY CLUB, SAN JUAN, PR 00924
- **Practice address phone:** (787) 420-3778
- **Practice address fax:** (787) 761-0911
- **Mailing address:** PMB 547, P.O. BOX 6017, CAROLINA, PR 00984-6017
- **Mailing address phone:** (787) 420-3778
- **Mailing address fax:** (787) 761-0911

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | TC-AMB-633 | PR | Yes |

## Other

- **Enumeration date:** 02/09/2010
- **Last updated:** 12/26/2018