Provider Demographics
NPI:1679719611
Name:TRANSMED AMBULANCE SERVICE CORP
Entity Type:Organization
Organization Name:TRANSMED AMBULANCE SERVICE CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JUAN
Authorized Official - Middle Name:E
Authorized Official - Last Name:GONZALEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-444-8270
Mailing Address - Street 1:PO BOX 9117
Mailing Address - Street 2:PMB # 26
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00960-9117
Mailing Address - Country:US
Mailing Address - Phone:787-444-8270
Mailing Address - Fax:787-279-4900
Practice Address - Street 1:PMB # 26
Practice Address - Street 2:BOX 9117
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00960-0000
Practice Address - Country:US
Practice Address - Phone:787-444-8270
Practice Address - Fax:787-279-4900
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-22
Last Update Date:2008-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PRTC-AMB-5623416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport