Provider Demographics
NPI:1316212525
Name:HATIMED MEDICAL TRANSPORT CORP
Entity Type:Organization
Organization Name:HATIMED MEDICAL TRANSPORT CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:ANNETTE
Authorized Official - Last Name:SEPULVADO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-879-5555
Mailing Address - Street 1:B1 CALLE MIGUEL GONZALEZ
Mailing Address - Street 2:
Mailing Address - City:HATILLO
Mailing Address - State:PR
Mailing Address - Zip Code:00659-2220
Mailing Address - Country:US
Mailing Address - Phone:787-879-5555
Mailing Address - Fax:787-898-6200
Practice Address - Street 1:CARRETERA 129, ESQUINA 492
Practice Address - Street 2:BO. HATO ABAJO
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00612
Practice Address - Country:US
Practice Address - Phone:787-544-6804
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HATIMED AMBULANCE SERVICE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-03-21
Last Update Date:2012-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport