Evolved Source Solutions Corp

Primary specialty

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

License

P52-541-79-263-0 Issued in FL

Legal business name

EVOLVED SOURCE SOLUTIONS CORP

Doing business as

Ess

Practice address

8411 Heron Pond Dr Apt B110
Lehigh Acres, FL 33972-8548

Phone

(239) 288-9470

NPI assigned

Feb 2, 2018

Last updated

Jun 16, 2018By 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

Mr. Miguel A Puentes

Title

President

Phone

(239) 288-9470

Specialties & licenses 5

Addresses

Other identifiers 1

Other names 1

• ESS Doing business as

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nohabi Garcia

  • Interpreter
  • Lehigh Acres, FL
  • NPI 1255830295
  NPD (past)
• Miguel A Puentes Sr.

  • Interpreter
  • Lehigh Acres, FL
  • NPI 1518466705
  NPD (past)
• Miguel A Puentes Jr., NEMT TRANSPORTER

  • Non-emergency Medical Transport (VAN)
  • Lehigh Acres, FL
  • NPI 1518472810
  NPD (past)

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

{
    "created_epoch": "1517529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1619476801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 516",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339700516",
            "telephone_number": "239-288-9470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8411 HERON POND DR APT B110",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339728548",
            "telephone_number": "239-288-9470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLVED SOURCE SOLUTIONS CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-02",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "PUENTES",
        "authorized_official_first_name": "MIGUEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-288-9470",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": "FL",
            "license": "P52-541-79-263-0",
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "FL",
            "license": "P52-541-79-263-0",
            "primary": true
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "FL",
            "license": "P52-541-79-263-0",
            "primary": false
        },
        {
            "code": "347E00000X",
            "taxonomy_group": "",
            "desc": "Transportation Broker",
            "state": "FL",
            "license": "P52-541-79-263-0",
            "primary": false
        },
        {
            "code": "171R00000X",
            "taxonomy_group": "",
            "desc": "Interpreter",
            "state": "FL",
            "license": "P52-541-79-263-0",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLLICENSE",
            "identifier": "P532-541-79-263-0",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ESS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ESS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rodolfo Estrella Jr.
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• Lorena Evora Martin
• Exquisite Transportation Services LLC
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• Eye Centers of Florida
• F&Ygroupehomecare LLC

• Non-emergency Medical Transport (VAN) in Lehigh Acres, FL
• Providers in Lehigh Acres, 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 Jun 16, 2018; 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.