Provider Demographics
NPI:1700295003
Name:IDA Y VUELTA, INC.
Entity Type:Organization
Organization Name:IDA Y VUELTA, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MISS
Authorized Official - First Name:EMELISA
Authorized Official - Middle Name:
Authorized Official - Last Name:BERMUDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-908-2805
Mailing Address - Street 1:304 MARGINAL
Mailing Address - Street 2:LA RAMBLA OFFICE PARK
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00716
Mailing Address - Country:US
Mailing Address - Phone:787-908-2805
Mailing Address - Fax:787-842-8777
Practice Address - Street 1:304 MARGINAL
Practice Address - Street 2:LA RAMBLA OFFICE PARK
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00716
Practice Address - Country:US
Practice Address - Phone:787-908-2805
Practice Address - Fax:787-842-8774
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-12
Last Update Date:2014-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4598236343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)