Provider Demographics
NPI:1730422841
Name:GO TRANSMED
Entity type:Organization
Organization Name:GO TRANSMED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PABLO
Authorized Official - Middle Name:R
Authorized Official - Last Name:BISONO
Authorized Official - Suffix:SR
Authorized Official - Credentials:MD
Authorized Official - Phone:787-363-4353
Mailing Address - Street 1:PO BOX 36265
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00936
Mailing Address - Country:US
Mailing Address - Phone:787-363-4353
Mailing Address - Fax:787-798-6865
Practice Address - Street 1:URB SANTA CRUZ CALLE SANTA CRUZ
Practice Address - Street 2:B10
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00959
Practice Address - Country:US
Practice Address - Phone:787-363-4353
Practice Address - Fax:787-798-6865
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MAPA HEALTH CORPORATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-03-27
Last Update Date:2013-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi
No347C00000XTransportation ServicesPrivate Vehicle