Active NPI
Cups Transportation LLC
- Non-emergency Medical Transport (VAN)
- Ashburn, VA
National Provider Identifier
1477076909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- Legal business name
- CUPS TRANSPORTATION LLC
- Practice address
- 42639 Waxpool Rd
Ashburn, VA 20148-4508 - Phone
- (571) 268-9858
- NPI assigned
- Jul 17, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Juan R Illesca Romero
- Title
- Owner
- Phone
- (571) 268-9858
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | Primary |
Addresses
Primary practice location
42639 Waxpool Rd
Ashburn, VA 20148-4508
Mailing address
42639 Waxpool Rd
Ashburn, VA 20148-4508
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500249600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1500249600000",
"number": "1477076909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42639 WAXPOOL RD",
"city": "ASHBURN",
"state": "VA",
"postal_code": "201484508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42639 WAXPOOL RD",
"city": "ASHBURN",
"state": "VA",
"postal_code": "201484508",
"telephone_number": "571-268-9858"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CUPS TRANSPORTATION LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-07-17",
"last_updated": "2017-07-17",
"status": "A",
"authorized_official_last_name": "ILLESCA ROMERO",
"authorized_official_first_name": "JUAN",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "571-268-9858"
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ashburn, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.