Organization
HEALTH TRANSPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LADY RIVERA (PRESIDENTA EJECUTIVA)
(413) 275-9406
Entity
Organization
Contact information
Practice address
7-1 PALENQUE 1A, BARCELONETA, PR 00617
(939) 261-0208
Mailing address
7-1 PALENQUE 1A, BARCELONETA, PR 00617
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
4764057
PR
343900000X
Non-emergency Medical Transport (VAN)
Primary
4764057
PR
347C00000X
Private Vehicle
4764057
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PCVTE-4786
CSP
PR
Enumeration date
02/24/2017
Last updated
02/24/2017
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