Provider Demographics
NPI:1053190934
Name:VMED TRANSPORT LLC
Entity type:Organization
Organization Name:VMED TRANSPORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:VICTOR
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSARIO MEDINA
Authorized Official - Suffix:
Authorized Official - Credentials:EMT
Authorized Official - Phone:787-392-9447
Mailing Address - Street 1:BO VIVI ABAJO
Mailing Address - Street 2:CARR 611 KM 1.4
Mailing Address - City:UTUADO
Mailing Address - State:PR
Mailing Address - Zip Code:00641
Mailing Address - Country:US
Mailing Address - Phone:787-392-9447
Mailing Address - Fax:
Practice Address - Street 1:BO VIVI
Practice Address - Street 2:CARR 611 KM 1.4
Practice Address - City:UTUADO
Practice Address - State:PR
Practice Address - Zip Code:00641
Practice Address - Country:US
Practice Address - Phone:787-392-9447
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-28
Last Update Date:2023-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No341600000XTransportation ServicesAmbulance