MEDICARE: TRINIDAD AMBULANCE TRANSPORT LLC

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	:	1477409597
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRINIDAD AMBULANCE TRANSPORT LLC

Provider Business Mailing Address
First Line	:	PO BOX 1716
Second Line	:
City	:	CIALES
State	:	PR
Zip	:	00638-1716
Country	:	US
Telephone Number	:	787-362-8261
Fax Number	:

Provider Business Practice Location Address
First Line	:	CARRETERA #2 KM 67.1 I-15 CALLE L
Second Line	:	BARRIO SANTANA
City	:	ARECIBO
State	:	PR
Zip	:	00612
Country	:	US
Telephone Number	:	787-362-8261
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRADORA
Name	:	MRS. YEIDA IVETTE TRINIDAD
Credential	:
Telephone Number	:	787-362-8261

Provider Enumeration Date	:	03/10/2026
Last Update Date	:	03/14/2026

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