Impact Medical Transport, Inc.

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

TCAMB650 Issued in PR

Legal business name

IMPACT MEDICAL TRANSPORT, INC.

Practice address

Calle Delfin WR-19 8VA. Seccion Santa Juanita
Bayamon, PR 00956

Phone

(787) 642-8040

Fax

(787) 799-9827

NPI assigned

Feb 10, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Awilda Huertas

Title

Presidenta

Phone

(787) 642-8040

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1265760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265760000000",
    "number": "1831421270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE DELFIN WR-19 8VA. SECCION SANTA JUANITA",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00956",
            "telephone_number": "787-642-8040",
            "fax_number": "787-799-9827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE DELFIN WR-19 8VA. SECCION SANTA JUANITA",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00956",
            "telephone_number": "787-642-8040",
            "fax_number": "787-799-9827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPACT MEDICAL TRANSPORT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-10",
        "last_updated": "2010-02-10",
        "status": "A",
        "authorized_official_last_name": "HUERTAS",
        "authorized_official_first_name": "AWILDA",
        "authorized_official_title_or_position": "PRESIDENTA",
        "authorized_official_telephone_number": "787-642-8040",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PR",
            "license": "TCAMB650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juan M Igartua Ponton, M.D.F.A.C.C.
• Gian Carlo Iglesias Galiano, D.C.
• Yasiris Coral Iglesias, BD
• Jose G Iguina, MD
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• Jose Alberto Infanzon Garcia
• Iniciativa Comunitaria de Investigacion
• Innovance Pulmonary Group, LLC

• Land Ambulance in Bayamon, PR
• Providers in Bayamon, PR by specialty
• Land Ambulance in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2010; 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.