Healthcare Provider Details

I. General information

NPI: 1629932579
Provider Name (Legal Business Name): MED CARE TRANSPORT INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CALLE 5 NUM B-12, URB. VILLAS DE CASTRO
CAGUAS PR
00725
US

IV. Provider business mailing address

PO BOX 7253
CAGUAS PR
00726-7253
US

V. Phone/Fax

Practice location:
  • Phone: 939-525-1089
  • Fax:
Mailing address:
  • Phone:
  • 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: KRYSTAL RODRIGUEZ
Title or Position: PRESIDENT
Credential:
Phone: 939-525-1089