Provider Demographics
NPI:1174832299
Name:VIAMED MEDICAL TRANSPORT CORP.
Entity Type:Organization
Organization Name:VIAMED MEDICAL TRANSPORT CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:
Authorized Official - Last Name:TORRES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-473-4181
Mailing Address - Street 1:URB. VERDE MAR CALLE 29
Mailing Address - Street 2:#787
Mailing Address - City:PUNTA SANTIAGO
Mailing Address - State:PR
Mailing Address - Zip Code:00741
Mailing Address - Country:US
Mailing Address - Phone:787-473-4181
Mailing Address - Fax:
Practice Address - Street 1:URB. CITY PALACE CALLE P
Practice Address - Street 2:31
Practice Address - City:NAGUABO
Practice Address - State:PR
Practice Address - Zip Code:00718
Practice Address - Country:US
Practice Address - Phone:787-473-4181
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-07
Last Update Date:2010-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)