MEDICARE: TRASLADOS MEDICOS DE PUERTO RICO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3416L0300X	Land Ambulance

General Provider Information

NPI Number	:	1245670785
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRASLADOS MEDICOS DE PUERTO RICO

Provider Business Mailing Address
First Line	:	10888 S 300 W
Second Line	:
City	:	SOUTH JORDAN
State	:	UT
Zip	:	84095-4043
Country	:	US
Telephone Number	:	801-619-4900
Fax Number	:	801-619-8077

Provider Business Practice Location Address
First Line	:	PANAMERICAN DOC LOT A-1
Second Line	:	ISLA GRANDE AIRPORT
City	:	SAN JUAN
State	:	PR
Zip	:	00907-9998
Country	:	US
Telephone Number	:	787-756-3680
Fax Number	:	801-983-6052

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JOSEPH L. HUNT
Credential	:
Telephone Number	:	801-619-4900

Provider Enumeration Date	:	06/28/2013
Last Update Date	:	06/28/2013

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Directions to “TRASLADOS MEDICOS DE PUERTO RICO ” Practice Location

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