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NPI Code Detail

MEDICARE: GODMEDTRASPORT LLC

MEDICARE: GODMEDTRASPORT 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
1342000000XTransportation Network Company

General Provider Information

NPI Number : 1487581955
Entity Type Code : Organization
Provider Name (Legal Business Name) : GODMEDTRASPORT LLC
Provider Business Mailing Address
First Line : JR5 CALLE LIZZIE GRAHAM
Second Line :
City : TOA BAJA
State : PR
Zip : 00949-3637
Country : US
Telephone Number : 787-539-4145
Fax Number :
Provider Business Practice Location Address
First Line : JR5 CALLE LIZZIE GRAHAM
Second Line :
City : TOA BAJA
State : PR
Zip : 00949-3637
Country : US
Telephone Number : 787-539-4145
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : RAYMOND D GERENA ROSARIO
Credential : ETC
Telephone Number : 787-788-1111
Provider Enumeration Date : 05/07/2026
Last Update Date : 05/07/2026

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Directions to “GODMEDTRASPORT LLC ” Practice Location

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