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Organization
MIA TRANSPORT LLC
Active
Organization
MIA TRANSPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIE L MATOS (PROPIETARIO)
(939) 475-7723
Entity
Organization
Contact information
Practice address
URB SANTA JUANITA CALLE 24 AU-13, BAYAMON, PR 00956
(939) 475-7723
Mailing address
URB LOMAS VERDES CALLE SALVIA 4K4, BAYAMON, PR 00956
(939) 475-7723
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
NULL
343900000X
Non-emergency Medical Transport (VAN)
—
NULL
Other
Enumeration date
06/23/2022
Last updated
12/11/2023
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