Provider Demographics
NPI:1922326321
Name:EASTERN HEALTH TRANSPORT SERVICE INC.
Entity Type:Organization
Organization Name:EASTERN HEALTH TRANSPORT SERVICE INC.
Other - Org Name:EASTERN HEALTH TRANSPORT SERVICE INC.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENTA
Authorized Official - Prefix:
Authorized Official - First Name:YOLANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:SANABRIA MELENDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-376-5735
Mailing Address - Street 1:HC5 BOX 4658
Mailing Address - Street 2:
Mailing Address - City:LAS PIEDRAS
Mailing Address - State:PR
Mailing Address - Zip Code:00771
Mailing Address - Country:UM
Mailing Address - Phone:787-376-5735
Mailing Address - Fax:787-733-3202
Practice Address - Street 1:CAR 198 KM 20 OPT 6
Practice Address - Street 2:BARRIO QUEBRADA ARENA
Practice Address - City:LAS PIEDRAS
Practice Address - State:PR
Practice Address - Zip Code:00771
Practice Address - Country:US
Practice Address - Phone:787-376-5735
Practice Address - Fax:787-733-3202
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-10
Last Update Date:2010-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR194809343900000X, 347C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)