Healthcare Provider Details

I. General information

NPI: 1205753902
Provider Name (Legal Business Name): CITA2GO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2026
Last Update Date: 07/02/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

BO HATO ARRIBA SEC PASEO CENTRAL,
SAN SEBASTIAN PR
00685-9998
US

IV. Provider business mailing address

PO BOX 1073
SAN SEBASTIAN PR
00685-1073
US

V. Phone/Fax

Practice location:
  • Phone: 939-226-7599
  • Fax:
Mailing address:
  • Phone: 939-226-7599
  • 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: GLENDA I JIMENEZ GONZALEZ
Title or Position: PRESIDENTE
Credential:
Phone: 939-226-7599