Provider Demographics
NPI:1972284198
Name:LIAM MEDICAL TRANSPORT LLC
Entity Type:Organization
Organization Name:LIAM MEDICAL TRANSPORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENTE
Authorized Official - Prefix:
Authorized Official - First Name:LUIS
Authorized Official - Middle Name:A
Authorized Official - Last Name:MALDONADO CARABALLO
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:939-262-0747
Mailing Address - Street 1:HC 1 BOX 6811
Mailing Address - Street 2:
Mailing Address - City:LAJAS
Mailing Address - State:PR
Mailing Address - Zip Code:00667-9055
Mailing Address - Country:US
Mailing Address - Phone:939-225-6089
Mailing Address - Fax:
Practice Address - Street 1:LOMAS BONITAS CARR. 128 KM 3 EDIFICIO EL CEDRO
Practice Address - Street 2:
Practice Address - City:YAUCO
Practice Address - State:PR
Practice Address - Zip Code:00698-0000
Practice Address - Country:US
Practice Address - Phone:939-225-6989
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-31
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport