Healthcare Provider Details

I. General information

NPI: 1922925494
Provider Name (Legal Business Name): BSA TRANSPORT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/03/2026
Last Update Date: 07/03/2026
Certification Date: 07/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1705 CALLE DONCELLA
PONCE PR
00728-1623
US

IV. Provider business mailing address

PO BOX 800481
COTO LAUREL PR
00780-0481
US

V. Phone/Fax

Practice location:
  • Phone: 787-202-2845
  • Fax:
Mailing address:
  • Phone:
  • Fax: 787-936-7428

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MAGALY PACHECO
Title or Position: MANAGER
Credential:
Phone: 787-202-2845