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Organization
MEDINA MEDICAL TRANSPORT CORPORATION
Active
Organization
MEDINA MEDICAL TRANSPORT CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAUL MEDINA (PRESIDENT)
(787) 355-0201
Entity
Organization
Contact information
Practice address
CARR 3 KM 19.8 MARGINAL VILLAS DE LOIZA, CANOVANAS, PR 00729
(787) 355-0201
(787) 500-7066
Mailing address
PO BOX 510, CANOVANAS, PR 00729-0510
(787) 355-0201
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TC-AMB-137091
AMBULANCE
PR
Enumeration date
02/27/2023
Last updated
03/21/2023
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