Jibrico Transportation LLC

Primary specialty

Private VehicleTaxonomy code 347C00000X

License

D04488408 Issued in AZ

Legal business name

JIBRICO TRANSPORTATION LLC

Practice address

7725 W McDowell Rd
Apt# 3018
Phoenix, AZ 85035-6471

Phone

(602) 809-0042

NPI assigned

Mar 4, 2011

Organization subpart

No

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

Authorized official

Name

Michael Silas Cotton

Title

Owner

Phone

(602) 809-0042

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1299196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299196800000",
    "number": "1295033975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7725 W MCDOWELL RD",
            "address_2": "APT# 3018",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850356471",
            "telephone_number": "602-809-0042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7725 W MCDOWELL RD",
            "address_2": "APT# 3018",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850356471",
            "telephone_number": "602-809-0042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIBRICO TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-04",
        "last_updated": "2011-03-04",
        "status": "A",
        "authorized_official_last_name": "COTTON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "SILAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-809-0042"
    },
    "taxonomies": [
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "AZ",
            "license": "D04488408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Private Vehicle in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Private Vehicle in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.