# VAZQUEZ MEDICAL TRANSPORT

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

## Provider details

- **NPI number:** 1730362633
- **Authorized official:** MR. CARLOS A VAZQUEZ (OWNER)
- **Authorized official phone:** (939) 579-1885

## Contact information

- **Practice address:** CALLE SAN JUAN D 53, URBANIZACION EXTENSION LA FE, JUANA DIAZ, PR 00795
- **Practice address phone:** (787) 260-0335
- **Mailing address:** HC 3 BOX 10947, JUANA DIAZ, PR 00795-9502
- **Mailing address phone:** (787) 260-0335

## Taxonomy

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

## Other

- **Enumeration date:** 12/13/2007
- **Last updated:** 12/15/2009