Provider Demographics
NPI:1376719062
Name:ROSARIO'S MEDICAL TRANSPORT
Entity Type:Organization
Organization Name:ROSARIO'S MEDICAL TRANSPORT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EDWIN
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSARIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:939-644-6709
Mailing Address - Street 1:HC 56 BOX 34266
Mailing Address - Street 2:
Mailing Address - City:AGUADA
Mailing Address - State:PR
Mailing Address - Zip Code:00602-9772
Mailing Address - Country:US
Mailing Address - Phone:939-644-6709
Mailing Address - Fax:787-818-0429
Practice Address - Street 1:CARR 417 KM 25.5 INT
Practice Address - Street 2:BO MALPASO SECTOR CESAR RUIZ
Practice Address - City:AGUADA
Practice Address - State:PR
Practice Address - Zip Code:00602
Practice Address - Country:US
Practice Address - Phone:939-644-6709
Practice Address - Fax:787-818-0429
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-02
Last Update Date:2008-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PRP 13773416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRTC AMB 480OtherCOMISION SERVICIO PUBLICO