Organization
J M TRANSPORT #1 CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA M GANDIA LUGO (OWNER)
(939) 639-6697
Entity
Organization
Contact information
Practice address
CARR PR-484 KM 0.5 INT, CALLE LOS LUGO BO COCOS, QUEBRADILLAS, PR 00678
(939) 638-2296
(787) 551-7104
Mailing address
PO BOX 339, QUEBRADILLAS, PR 00678-0339
(939) 638-2296
(787) 551-7104
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TCAMB-133748
LICENCIA
PR
Enumeration date
02/23/2022
Last updated
02/23/2022
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