Provider Demographics
NPI:1720823495
Name:ATENAS MEDICAL TRANSPORT, LLC
Entity type:Organization
Organization Name:ATENAS MEDICAL TRANSPORT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENTE
Authorized Official - Prefix:MR
Authorized Official - First Name:WILBERTO
Authorized Official - Middle Name:
Authorized Official - Last Name:COLON PAGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-429-9200
Mailing Address - Street 1:PO BOX 39
Mailing Address - Street 2:
Mailing Address - City:MANATI
Mailing Address - State:PR
Mailing Address - Zip Code:00674-0039
Mailing Address - Country:US
Mailing Address - Phone:787-429-9200
Mailing Address - Fax:
Practice Address - Street 1:CARR 2 KM 57.4
Practice Address - Street 2:BO IMBERY
Practice Address - City:BARCELONETA
Practice Address - State:PR
Practice Address - Zip Code:00617-3339
Practice Address - Country:US
Practice Address - Phone:787-429-9200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-26
Last Update Date:2024-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport