Provider Demographics
NPI:1124373972
Name:ARROW HANDICAP TRANSPORT
Entity Type:Organization
Organization Name:ARROW HANDICAP TRANSPORT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NOEL
Authorized Official - Middle Name:MEDINA
Authorized Official - Last Name:VEGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-640-6239
Mailing Address - Street 1:PLAZA DEL REY HONDURA ST.#264
Mailing Address - Street 2:APT. 2001
Mailing Address - City:SAN JUAN
Mailing Address - State:TERRITORY
Mailing Address - Zip Code:00917
Mailing Address - Country:UM
Mailing Address - Phone:787-640-6239
Mailing Address - Fax:787-200-6540
Practice Address - Street 1:PMB 1341
Practice Address - Street 2:243 CALLE PARIS
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00917-3632
Practice Address - Country:US
Practice Address - Phone:787-640-6239
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-18
Last Update Date:2012-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PRPC-3673-VTI343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)