# SOUTH MEDICAL TRANSPORT LLC

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

## Provider details

- **NPI number:** 1457000671
- **Authorized official:** NOEL GONZALEZ (PRESIDENT)
- **Authorized official phone:** (321) 333-7221

## Contact information

- **Practice address:** BO. CUYON SECTOR CALABAZAS, CARR 14 KM 39.3, COAMO, PR 00769
- **Practice address phone:** (321) 333-7221
- **Mailing address:** PO BOX 28, COAMO, PR 00769-0028
- **Mailing address phone:** (321) 333-7221

## Taxonomy

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

## Other

- **Enumeration date:** 03/23/2022
- **Last updated:** 03/23/2022