Shores Transport, Inc

Primary specialty

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

License

NE45117 Issued in FL

Legal business name

SHORES TRANSPORT, INC

Practice address

415 NE 111 Street
North Miami, FL 33153

Phone

(877) 746-7307

NPI assigned

May 16, 2011

Last updated

May 16, 2011By 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

Mrs. Fedja Lily Santiago

Title

President

Phone

(877) 746-7307

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1305504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305504000000",
    "number": "1033402615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 530193",
            "city": "MIAMI SHORES",
            "state": "FL",
            "postal_code": "331530193",
            "telephone_number": "877-746-8377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 NE 111 STREET",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "33153",
            "telephone_number": "877-746-7307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORES TRANSPORT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-16",
        "last_updated": "2011-05-16",
        "status": "A",
        "authorized_official_last_name": "SANTIAGO",
        "authorized_official_first_name": "FEDJA",
        "authorized_official_middle_name": "LILY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "877-746-7307",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "FL",
            "license": "NE45117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Non-emergency Medical Transport (VAN) in North Miami, FL
• Providers in North Miami, FL by specialty
• Non-emergency Medical Transport (VAN) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2011; 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.