Organization
VILLALBA MEDICAL TRANSPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELVIN LORA (PRESIDENT)
(939) 358-2362
Entity
Organization
Contact information
Practice address
CARR 14 KM 13.2 URB ORTA LOCAL NUM 5, JUANA DIAZ, PR 00795-0079
(787) 210-1400
Mailing address
URB LA VEGA, CALLE B 139, VILLALBA, PR 00766
(787) 210-1400
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TCAMB-139362
COMISION
PR
Enumeration date
09/27/2021
Last updated
09/20/2023
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