# LUIS A PEREZ GOYCO

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Borinquen Medical Transport
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659592814
- **Authorized official:** LUIS A PEREZ GOYCO (OWNER)
- **Authorized official phone:** (787) 603-2911

## Contact information

- **Practice address:** CARR 467, KM 23, BO. BORINQUEN, AGUADILLA, PR 00603-6606
- **Practice address phone:** (787) 603-2911
- **Practice address fax:** (787) 818-0429
- **Mailing address:** PO BOX 3682, AGUADILLA, PR 00605-3682
- **Mailing address phone:** (787) 603-2911
- **Mailing address fax:** (787) 818-0429

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | P829 | PR | Yes |

## Other

- **Enumeration date:** 05/02/2007
- **Last updated:** 08/22/2020