Organization
EE BIDOT L GROUP CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDUARDO E BIDOT DRIVER (PRESIDENTE)
(787) 543-7895
Entity
Organization
Contact information
Practice address
2515 CALLE ALAMAR COND ALAMBRA PLAZA, APART 205, PONCE, PR 00716
(787) 543-7895
Mailing address
2515 CALLE ALAMAR COND ALAMBRA PLAZA, APART 205, PONCE, PR 00716
(787) 543-7895
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1538703616
—
PR
Enumeration date
12/03/2019
Last updated
01/16/2020
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