Organization
IMPACT MEDICAL TRANSPORT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AWILDA HUERTAS (PRESIDENTA)
(787) 642-8040
Entity
Organization
Contact information
Practice address
CALLE DELFIN WR-19 8VA. SECCION SANTA JUANITA, BAYAMON, PR 00956
(787) 642-8040
(787) 799-9827
Mailing address
CALLE DELFIN WR-19 8VA. SECCION SANTA JUANITA, BAYAMON, PR 00956
(787) 642-8040
(787) 799-9827
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
TCAMB650
PR
Other
Enumeration date
02/10/2010
Last updated
02/10/2010
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