J M Transport #1 Corp

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

J M TRANSPORT #1 CORP

Practice address

Carr PR-484 KM 0.5 Int
Calle Los Lugo Bo Cocos
Quebradillas, PR 00678

Phone

(939) 638-2296

Fax

(787) 551-7104

NPI assigned

Feb 23, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jessica M Gandia Lugo

Title

Owner

Phone

(939) 639-6697

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1645574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645574400000",
    "number": "1275289860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 339",
            "city": "QUEBRADILLAS",
            "state": "PR",
            "postal_code": "006780339",
            "telephone_number": "939-638-2296",
            "fax_number": "787-551-7104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR PR-484 KM 0.5 INT",
            "address_2": "CALLE LOS LUGO BO COCOS",
            "city": "QUEBRADILLAS",
            "state": "PR",
            "postal_code": "00678",
            "telephone_number": "939-638-2296",
            "fax_number": "787-551-7104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J M TRANSPORT #1 CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-23",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-10",
        "status": "A",
        "authorized_official_last_name": "GANDIA LUGO",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "939-639-6697"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCIA",
            "identifier": "TCAMB-133748",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Land Ambulance in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2022; 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.