Organization
MEDIC TRANSPORT AGENCY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PROF. HUMBERTO IRIZARRY EMS (PRESIDENT)
(787) 394-8464
Entity
Organization
Contact information
Practice address
C22 HACIENDA ANITA, URB SANTA MARIA, GUAYANILLA, PR 00656-1506
(787) 394-8464
Mailing address
URB. SANTA MARIA, CALLE-24 C-22, GUAYANILLA, PR 00656
(787) 394-8464
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
Primary
1407900
PR
Other
Enumeration date
12/01/2011
Last updated
12/01/2011
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