Organization
CENTRAL MEDICAL TRANSPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NELSON R REPOLLET SR. (PRESIDENT)
(787) 319-9380
Entity
Organization
Contact information
Practice address
CARR 157 KM 6.7 BO CACAO, SECTOR LA ALTURITA, OROCOVIS, PR 00720
(787) 319-9380
Mailing address
HC 1 BOX 5981, CIALES, PR 00638-9699
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
123456789
SERVICIO DE AMBULANCIA
—
Enumeration date
09/25/2020
Last updated
09/25/2020
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