Provider Demographics
NPI:1346499522
Name:INTERBUS, CORP
Entity Type:Organization
Organization Name:INTERBUS, CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANGEL
Authorized Official - Middle Name:M
Authorized Official - Last Name:VELEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-858-7581
Mailing Address - Street 1:4309 CARR 2 # KM43.3
Mailing Address - Street 2:ALGARROBO
Mailing Address - City:VEGA BAJA
Mailing Address - State:PR
Mailing Address - Zip Code:00693-4141
Mailing Address - Country:US
Mailing Address - Phone:787-858-7581
Mailing Address - Fax:787-855-1573
Practice Address - Street 1:4309 CARR #2 KM 43.3
Practice Address - Street 2:BA. ALGARROBO
Practice Address - City:VEGA BAJA
Practice Address - State:PR
Practice Address - Zip Code:00693
Practice Address - Country:US
Practice Address - Phone:787-858-7581
Practice Address - Fax:787-855-1573
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-12
Last Update Date:2008-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PRS-08-42-PC-4410343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)