Healthcare Provider Details

I. General information

NPI: 1639014848
Provider Name (Legal Business Name): MTA MEDICAL TRANSPORT CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/22/2026
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6901 OKEECHOBEE BLVD STE D51096
WEST PALM BEACH FL
33411-2511
US

IV. Provider business mailing address

6901 OKEECHOBEE BLVD STE D51096
WEST PALM BEACH FL
33411-2511
US

V. Phone/Fax

Practice location:
  • Phone: 786-304-5122
  • Fax:
Mailing address:
  • Phone: 786-304-5122
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: IVANIA ARQUEZ
Title or Position: PRESIDENT
Credential:
Phone: 786-304-5122