Provider Demographics
NPI:1568640050
Name:MANATI MEDICAL TRANSPORT SERVICE INC
Entity Type:Organization
Organization Name:MANATI MEDICAL TRANSPORT SERVICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARIO
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:R
Authorized Official - Last Name:MARTI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-203-1066
Mailing Address - Street 1:PO BOX 240
Mailing Address - Street 2:
Mailing Address - City:MANATI
Mailing Address - State:PR
Mailing Address - Zip Code:00674-0240
Mailing Address - Country:US
Mailing Address - Phone:787-203-1066
Mailing Address - Fax:
Practice Address - Street 1:CARR. 685 KM 2.3
Practice Address - Street 2:
Practice Address - City:MANATI
Practice Address - State:PR
Practice Address - Zip Code:00674
Practice Address - Country:US
Practice Address - Phone:787-203-1066
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-06
Last Update Date:2014-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0059555Medicare PIN