# JD MEDICAL TRANSPORT CORP

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

## Provider details

- **NPI number:** 1962233809
- **Authorized official:** JOEL DIAZ IRRIZARRY (PRESIDENT)
- **Authorized official phone:** (939) 639-0754

## Contact information

- **Practice address:** BARRIO QUEBRADAS CARR 127 KM 5.0, GUAYANILLA, PR 00656
- **Practice address phone:** (939) 639-0754
- **Mailing address:** HC 2 BOX 7424, PENUELAS, PR 00624-9863
- **Mailing address phone:** (939) 639-0754

## Taxonomy

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

## Other

- **Enumeration date:** 08/12/2024
- **Last updated:** 08/12/2024
