Provider Demographics
NPI:1407626112
Name:NOVA MEDICAL TRANSPORT LLC
Entity Type:Organization
Organization Name:NOVA MEDICAL TRANSPORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENTE
Authorized Official - Prefix:MS
Authorized Official - First Name:NEYSHA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:PIETRI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-206-1040
Mailing Address - Street 1:PO BOX 232
Mailing Address - Street 2:
Mailing Address - City:SABANA GRANDE
Mailing Address - State:PR
Mailing Address - Zip Code:00637-0232
Mailing Address - Country:US
Mailing Address - Phone:787-206-1040
Mailing Address - Fax:
Practice Address - Street 1:18 AVE LIBORIO LOPEZ SANCHEZ
Practice Address - Street 2:
Practice Address - City:SABANA GRANDE
Practice Address - State:PR
Practice Address - Zip Code:00637-2035
Practice Address - Country:US
Practice Address - Phone:787-206-1040
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-03
Last Update Date:2024-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance