# MIA TRANSPORT LLC

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

## Provider details

- **NPI number:** 1851022412
- **Authorized official:** MARIE L MATOS (PROPIETARIO)
- **Authorized official phone:** (939) 475-7723

## Contact information

- **Practice address:** URB SANTA JUANITA CALLE 24 AU-13, BAYAMON, PR 00956
- **Practice address phone:** (939) 475-7723
- **Mailing address:** URB LOMAS VERDES CALLE SALVIA 4K4, BAYAMON, PR 00956
- **Mailing address phone:** (939) 475-7723

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | — | NULL | Yes |
| 343900000X | Non-emergency Medical Transport (VAN) | — | NULL | — |

## Other

- **Enumeration date:** 06/23/2022
- **Last updated:** 12/11/2023