1083639231 NPI number — LOS ANGELES MEDICAL TRANSPORT INC

Table of content: (NPI 1083639231)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1083639231 NPI number — LOS ANGELES MEDICAL TRANSPORT INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
LOS ANGELES MEDICAL TRANSPORT INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1083639231
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/23/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
31 CALLE RAFAEL COCA NAVAS
Provider Second Line Business Mailing Address:
QUINTAS LAS MUESAS
Provider Business Mailing Address City Name:
CAYEY
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00736-5518
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-685-8131
Provider Business Mailing Address Fax Number:
787-998-6632

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
AVE. ORQUIDEA AN-15
Provider Second Line Business Practice Location Address:
REPARTO VALENCIA
Provider Business Practice Location Address City Name:
BAYAMON
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00951
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-586-2567
Provider Business Practice Location Address Fax Number:
787-998-6632
Provider Enumeration Date:
07/12/2006

Additional Information

Authorized Official

Authorized Official Last Name:
APONTE
Authorized Official First Name:
OMAR
Authorized Official Middle Name:
JOSUE
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
787-685-8131

Provider Taxonomy Codes

  • Taxonomy code: 3416L0300X , with the licence number:  TC AMB 505 , registered in the state of PR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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