Healthcare Provider Details

I. General information

NPI: 1104141480
Provider Name (Legal Business Name): ALIANZA NUEVA TRANSPORT INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/30/2010
Last Update Date: 03/30/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

HACIENDA TORTUGUERO C JUAN PIZA #6 CARR. 687 KM 4.4
VEGA BAJA PR
00693
US

IV. Provider business mailing address

PO BOX 4053
VEGA BAJA PR
00694-4053
US

V. Phone/Fax

Practice location:
  • Phone: 787-702-5479
  • Fax: 787-702-5479
Mailing address:
  • Phone: 787-702-5479
  • Fax: 787-702-5479

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State

VIII. Authorized Official

Name: MRS. SANDY ARROYO COLON
Title or Position: CEO
Credential:
Phone: 787-702-5479