1174832299 NPI number — VIAMED MEDICAL TRANSPORT CORP.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1174832299 NPI number — VIAMED MEDICAL TRANSPORT CORP.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
VIAMED MEDICAL TRANSPORT CORP.
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:
1174832299
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/07/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
URB. VERDE MAR CALLE 29
Provider Second Line Business Mailing Address:
#787
Provider Business Mailing Address City Name:
PUNTA SANTIAGO
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00741
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-473-4181
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
URB. CITY PALACE CALLE P
Provider Second Line Business Practice Location Address:
31
Provider Business Practice Location Address City Name:
NAGUABO
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00718
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-473-4181
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/07/2010

Additional Information

Authorized Official

Authorized Official Last Name:
TORRES
Authorized Official First Name:
BRENDA
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
787-473-4181

Provider Taxonomy Codes

  • Taxonomy code: 343900000X , 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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