Healthcare Provider Details

I. General information

NPI: 1770461741
Provider Name (Legal Business Name): UNIVERSAL MEDICAL TRANSPORT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2025
Last Update Date: 09/01/2025
Certification Date: 09/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1303 CALLE DELHI
SAN JUAN PR
00920-3734
US

IV. Provider business mailing address

1303 CALLE DELHI
SAN JUAN PR
00920-3734
US

V. Phone/Fax

Practice location:
  • Phone: 787-640-5938
  • Fax:
Mailing address:
  • Phone: 787-640-5938
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number
License Number State

VIII. Authorized Official

Name: JOSE L PADILLA FLORES
Title or Position: ADMINISTRADOR
Credential:
Phone: 787-640-5938