Organization
EBENEZER MED TRANSPORT INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RUPERTO JOEL GONZALEZ (PRESIDENT)
(787) 375-2894
Entity
Organization
Contact information
Practice address
BO GUANIQUILLA, 316 PALMAR NOVOA, AGUADA, PR 00602
(787) 375-2894
Mailing address
53 CALLE BRISAS DEL MAR, AGUADA, PR 00602-4060
(787) 375-2894
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
03/04/2019
Last updated
03/04/2019
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