Healthcare Provider Details

I. General information

NPI: 1770362386
Provider Name (Legal Business Name): BLESSED TRANSPORT PR LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2023
Last Update Date: 09/22/2023
Certification Date: 09/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

52 CALLE BREVE URB ESTANCIAS DE ARECIBO
ARECIBO PR
00612
US

IV. Provider business mailing address

52 CALLE BREVE URB ESTANCIAS DE ARECIBO
ARECIBO PR
00612
US

V. Phone/Fax

Practice location:
  • Phone: 787-372-5924
  • Fax:
Mailing address:
  • Phone: 787-372-5924
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code342000000X
TaxonomyTransportation Network Company
License Number
License Number State

VIII. Authorized Official

Name: MISS TAINA MARIE VILELLA
Title or Position: PRESIDENT
Credential:
Phone: 787-372-5924