Provider Demographics
NPI:1376834242
Name:RIGAR MEDICAL TRANSPORT, INC.
Entity Type:Organization
Organization Name:RIGAR MEDICAL TRANSPORT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JAVIER
Authorized Official - Middle Name:G
Authorized Official - Last Name:RIVERA
Authorized Official - Suffix:I
Authorized Official - Credentials:EMT
Authorized Official - Phone:787-364-9076
Mailing Address - Street 1:PO BOX 642
Mailing Address - Street 2:
Mailing Address - City:VEGA ALTA
Mailing Address - State:PR
Mailing Address - Zip Code:00692-0642
Mailing Address - Country:US
Mailing Address - Phone:787-364-9076
Mailing Address - Fax:787-270-0402
Practice Address - Street 1:CALLE 6 N-10
Practice Address - Street 2:URB. VILLA LINARES
Practice Address - City:VEGA ALTA
Practice Address - State:PR
Practice Address - Zip Code:00692
Practice Address - Country:US
Practice Address - Phone:787-364-9076
Practice Address - Fax:787-270-0402
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-27
Last Update Date:2011-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4413416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport