Provider Demographics
NPI:1720726011
Name:CORDMEDIC TRANSPORTS
Entity type:Organization
Organization Name:CORDMEDIC TRANSPORTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENTE
Authorized Official - Prefix:
Authorized Official - First Name:JOSUE
Authorized Official - Middle Name:
Authorized Official - Last Name:CORDERO
Authorized Official - Suffix:SR
Authorized Official - Credentials:CEO
Authorized Official - Phone:787-585-8341
Mailing Address - Street 1:BO QUEBRADA ARENA 15 CAMINO MANGUAL
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-9522
Mailing Address - Country:US
Mailing Address - Phone:787-585-8341
Mailing Address - Fax:
Practice Address - Street 1:QUEBRADA ARENA CARR 1 K23 H0.9
Practice Address - Street 2:00926-9522
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926-9522
Practice Address - Country:US
Practice Address - Phone:787-585-8341
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-25
Last Update Date:2022-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR1185904-0017OtherPROVEEDOR DE TRASNPORTE EMERGENTE