Provider Demographics
NPI:1659495232
Name:MEDICBUS, INC.
Entity Type:Organization
Organization Name:MEDICBUS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANCISCO
Authorized Official - Middle Name:J
Authorized Official - Last Name:MENDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:CPA, FHFMA
Authorized Official - Phone:787-777-0617
Mailing Address - Street 1:165 AVE PONCE DE LEON STE 201
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00917-1235
Mailing Address - Country:US
Mailing Address - Phone:787-777-0617
Mailing Address - Fax:787-765-8033
Practice Address - Street 1:165 AVE PONCE DE LEON STE 201
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00917-1235
Practice Address - Country:US
Practice Address - Phone:787-777-0617
Practice Address - Fax:787-765-8033
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)