Vip Medical Transport

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

6126855 Issued in PR

Legal business name

VIP MEDICAL TRANSPORT

Practice address

7 Calle J16
Urb Ext Valles de Arroyo
Arroyo, PR 00714

Phone

(787) 214-3405

NPI assigned

Jun 22, 2017

Last updated

Mar 17, 2018By 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

Jorge Luis Camacho

Title

Ceo

Phone

(787) 214-3405

Specialties & licenses 1

Addresses

Other names 1

• VIP MEDICAL TRANSPORT Former legal business name

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

{
    "created_epoch": "1498089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1942720800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 63 BOX 3206",
            "city": "PATILLAS",
            "state": "PR",
            "postal_code": "007239660",
            "telephone_number": "787-214-3405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 CALLE J16",
            "address_2": "URB EXT VALLES DE ARROYO",
            "city": "ARROYO",
            "state": "PR",
            "postal_code": "00714",
            "telephone_number": "787-214-3405"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 CALLE 293-B",
            "address_2": "BO OLIMPO",
            "address_purpose": "LOCATION",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "00784",
            "country_code": "US",
            "telephone_number": "787-214-3405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VIP MEDICAL TRANSPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-22",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "CAMACHO",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "LUIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "787-214-3405"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "PR",
            "license": "6126855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VIP MEDICAL TRANSPORT",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "VIP MEDICAL TRANSPORT",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Non-emergency Medical Transport (VAN) in Arroyo, PR
• Providers in Arroyo, PR by specialty
• Non-emergency Medical Transport (VAN) in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.