MEDICARE: BSA TRANSPORT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3416L0300X	Land Ambulance

General Provider Information

NPI Number	:	1922925494
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BSA TRANSPORT

Provider Business Mailing Address
First Line	:	PO BOX 800481
Second Line	:
City	:	COTO LAUREL
State	:	PR
Zip	:	00780-0481
Country	:	US
Telephone Number	:
Fax Number	:	787-936-7428

Provider Business Practice Location Address
First Line	:	1705 CALLE DONCELLA
Second Line	:
City	:	PONCE
State	:	PR
Zip	:	00728-1623
Country	:	US
Telephone Number	:	787-202-2845
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	MAGALY PACHECO
Credential	:
Telephone Number	:	787-202-2845

Provider Enumeration Date	:	07/03/2026
Last Update Date	:	07/03/2026

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Directions to “BSA TRANSPORT ” Practice Location

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