Healthcare Provider Details

I. General information

NPI: 1720823495
Provider Name (Legal Business Name): ATENAS MEDICAL TRANSPORT, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/26/2024
Last Update Date: 06/26/2024
Certification Date: 06/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR 2 KM 57.4 BO IMBERY
BARCELONETA PR
00617-3339
US

IV. Provider business mailing address

PO BOX 39
MANATI PR
00674-0039
US

V. Phone/Fax

Practice location:
  • Phone: 787-429-9200
  • Fax:
Mailing address:
  • Phone: 787-429-9200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MR. WILBERTO COLON PAGAN
Title or Position: PRESIDENTE
Credential:
Phone: 787-429-9200