# IMPACT MEDICAL TRANSPORT, INC.

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

## Provider details

- **NPI number:** 1831421270
- **Authorized official:** MRS. AWILDA HUERTAS (PRESIDENTA)
- **Authorized official phone:** (787) 642-8040

## Contact information

- **Practice address:** CALLE DELFIN WR-19 8VA. SECCION SANTA JUANITA, BAYAMON, PR 00956
- **Practice address phone:** (787) 642-8040
- **Practice address fax:** (787) 799-9827
- **Mailing address:** CALLE DELFIN WR-19 8VA. SECCION SANTA JUANITA, BAYAMON, PR 00956
- **Mailing address phone:** (787) 642-8040
- **Mailing address fax:** (787) 799-9827

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | TCAMB650 | PR | Yes |

## Other

- **Enumeration date:** 02/10/2010
- **Last updated:** 02/10/2010