# PRIME MEDICAL TRANSPORT, CORP

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

## Provider details

- **NPI number:** 1861451635
- **Authorized official:** MR. CARLOS ROSADO (ADMINISTRATOR)
- **Authorized official phone:** (787) 473-7219

## Contact information

- **Practice address:** 220 WESTERN AUTO PLAZA, PMB 429, TRUJILLO ALTO, PR 00976-0001
- **Practice address phone:** (787) 285-1800
- **Practice address fax:** (787) 850-3800
- **Mailing address:** 220 WESTERN AUTO PLAZA, PMB 429, TRUJILLO ALTO, PR 00976-0001
- **Mailing address phone:** (787) 285-1800
- **Mailing address fax:** (787) 850-3800

## Taxonomy

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

## Other

- **Enumeration date:** 03/21/2006
- **Last updated:** 07/21/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0062171 | PROVIDER NUM | PR |