Healthcare Provider Details

I. General information

NPI: 1659495232
Provider Name (Legal Business Name): MEDICBUS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/19/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

165 AVE PONCE DE LEON STE 201
SAN JUAN PR
00917-1235
US

IV. Provider business mailing address

165 AVE PONCE DE LEON STE 201
SAN JUAN PR
00917-1235
US

V. Phone/Fax

Practice location:
  • Phone: 787-777-0617
  • Fax: 787-765-8033
Mailing address:
  • Phone: 787-777-0617
  • Fax: 787-765-8033

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: MR. FRANCISCO J MENDEZ
Title or Position: DIRECTOR
Credential: CPA, FHFMA
Phone: 787-777-0617