Provider Demographics
NPI:1073264263
Name:QUINTANA MEDICAL TRANSPORT INC
Entity Type:Organization
Organization Name:QUINTANA MEDICAL TRANSPORT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICEPRESIDENTA
Authorized Official - Prefix:MRS
Authorized Official - First Name:YAHAIRA
Authorized Official - Middle Name:
Authorized Official - Last Name:CLASS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-213-4424
Mailing Address - Street 1:RR 1 BOX 40035
Mailing Address - Street 2:
Mailing Address - City:SAN SEBASTIAN
Mailing Address - State:PR
Mailing Address - Zip Code:00685-6114
Mailing Address - Country:US
Mailing Address - Phone:787-213-4424
Mailing Address - Fax:939-697-6080
Practice Address - Street 1:232 CALLE RUIZ BELVIS
Practice Address - Street 2:
Practice Address - City:SAN SEBASTIAN
Practice Address - State:PR
Practice Address - Zip Code:00685-2333
Practice Address - Country:US
Practice Address - Phone:787-213-4424
Practice Address - Fax:939-697-6080
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-10
Last Update Date:2022-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport