Organization Active NPI

Medic Transport Agency Inc

  • Secured Medical Transport (VAN)
  • Guayanilla, PR
National Provider Identifier
1649548983
Registry record updated Dec 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Secured Medical Transport (VAN)Taxonomy code 343800000X
License
1407900 Issued in PR
Legal business name
MEDIC TRANSPORT AGENCY INC
Practice address
C22 Hacienda Anita
Urb Santa Maria
Guayanilla, PR 00656-1506
Phone
(787) 394-8464
NPI assigned
Dec 1, 2011
Last updated
Dec 1, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2011

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

Authorized official

Name
Prof. Humberto Irizarry, EMS
Title
President
Phone
(787) 394-8464

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Secured Medical Transport (VAN) 343800000X 1407900 PR Primary

Addresses

Primary practice location

C22 Hacienda Anita
Urb Santa Maria
Guayanilla, PR 00656-1506

Mailing address

Urb. Santa Maria
Calle-24 C-22
Guayanilla, PR 00656
Phone (787) 394-8464

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1322697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322697600000",
    "number": "1649548983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB. SANTA MARIA",
            "address_2": "CALLE-24 C-22",
            "city": "GUAYANILLA",
            "state": "PR",
            "postal_code": "00656",
            "telephone_number": "787-394-8464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "C22 HACIENDA ANITA",
            "address_2": "URB SANTA MARIA",
            "city": "GUAYANILLA",
            "state": "PR",
            "postal_code": "006561506",
            "telephone_number": "787-394-8464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDIC TRANSPORT AGENCY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-01",
        "last_updated": "2011-12-01",
        "status": "A",
        "authorized_official_last_name": "IRIZARRY",
        "authorized_official_first_name": "HUMBERTO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-394-8464",
        "authorized_official_name_prefix": "Prof.",
        "authorized_official_credential": "EMS"
    },
    "taxonomies": [
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": "PR",
            "license": "1407900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guayanilla, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2011; 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.