Provider Demographics
NPI:1497306559
Name:SAINT MEDICAL TRANSPORT LLC
Entity Type:Organization
Organization Name:SAINT MEDICAL TRANSPORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ARACELY
Authorized Official - Middle Name:
Authorized Official - Last Name:GONZALEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-560-8947
Mailing Address - Street 1:3916 S L ST
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78503-1739
Mailing Address - Country:US
Mailing Address - Phone:956-560-8947
Mailing Address - Fax:956-513-0659
Practice Address - Street 1:3916 S L ST
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78503-1739
Practice Address - Country:US
Practice Address - Phone:956-560-8947
Practice Address - Fax:956-513-0659
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-20
Last Update Date:2019-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)