Healthcare Provider Details

I. General information

NPI: 1073079729
Provider Name (Legal Business Name): MSN TRANSPORT INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/19/2019
Last Update Date: 02/19/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

D8 CALLE 2 URB VILLA REAL
VEGA BAJA PR
00693
US

IV. Provider business mailing address

PO BOX 4317
VEGA BAJA PR
00694-4317
US

V. Phone/Fax

Practice location:
  • Phone: 787-915-0000
  • Fax: 787-915-0022
Mailing address:
  • Phone: 787-883-0124
  • Fax: 787-883-0222

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code343800000X
TaxonomySecured Medical Transport (VAN)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: FERNANDO A GARCIA
Title or Position: PRESIDENT
Credential: MD
Phone: 787-883-0124