Healthcare Provider Details

I. General information

NPI: 1467181750
Provider Name (Legal Business Name): AMT GROUP, LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2022
Last Update Date: 11/11/2025
Certification Date: 11/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR 119 KM 28.7 BO. HOYAMALA
SAN SEBASTIAN PR
00685
US

IV. Provider business mailing address

PO BOX 7746
CAROLINA PR
00986-7746
US

V. Phone/Fax

Practice location:
  • Phone: 787-200-7977
  • Fax:
Mailing address:
  • Phone: 787-200-7977
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: JUSTO N AYALA SR.
Title or Position: PRESIDENTE
Credential:
Phone: 787-200-7977