Ebenezer Med Transport Inc.

Primary specialty

Secured Medical Transport (VAN)Taxonomy code 343800000X

Legal business name

EBENEZER MED TRANSPORT INC.

Practice address

Bo Guaniquilla
316 Palmar Novoa
Aguada, PR 00602

Phone

(787) 375-2894

NPI assigned

Mar 4, 2019

Last updated

Mar 4, 2019By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Ruperto Joel Gonzalez

Title

President

Phone

(787) 375-2894

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1551657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551657600000",
    "number": "1437617032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 CALLE BRISAS DEL MAR",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "006024060",
            "telephone_number": "787-375-2894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BO GUANIQUILLA",
            "address_2": "316 PALMAR NOVOA",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "00602",
            "telephone_number": "787-375-2894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EBENEZER MED TRANSPORT INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-04",
        "last_updated": "2019-03-04",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "RUPERTO",
        "authorized_official_middle_name": "JOEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-375-2894",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr. Marco a. del Valle, Oficina Dental CSP
• Dra Damarys Gonzalez Galicia PSC
• Dra Mireya Perez Sanchez LLC
• Dunamis Integral Services LLC
• DXR Solutions LLC (Centro Radiologico Aguada)
• Awilda Echevarria, MT
• Edith M Echevarria, MT
• Luis A Echevarria, MD
• Luis Alberto Echevarria, PA
• Manuel Antonio Egozcue, M.D.

• Secured Medical Transport (VAN) in Aguada, PR
• Providers in Aguada, PR by specialty
• Secured Medical Transport (VAN) in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.