Alfred J. Juan Sr.

Primary specialty

Basic Emergency Medical TechnicianTaxonomy code 146N00000X

License

B40530 Issued in AZ

Legal business name

ALFRED J. JUAN SR.

Doing business as

AL Transportation Service

Practice address

House Az. 26-24-CH47
A J Medical Transport San Isidro Comm.
Sells, AZ 85634

Phone

(520) 383-1400

Fax

(520) 383-1400

NPI assigned

May 16, 2007

Last updated

Dec 27, 2011By the provider in NPPES

Organization subpart

Yes

Parent organization

AJ MEDICAL TRANSPORTAs reported in NPPES

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

Authorized official

Name

Mr. Alfred J Juan Sr., EMERGENCY MEDICAL TE

Title

Director a J Medical Transport

Phone

(520) 383-1400

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• AL Transportation Service Doing business as

Part of

Alfred J Juan Sr

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324944000000",
    "number": "1679789309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 743",
            "city": "SELLS",
            "state": "AZ",
            "postal_code": "856340743",
            "telephone_number": "520-383-1400",
            "fax_number": "520-383-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HOUSE AZ. 26-24-CH47",
            "address_2": "A J MEDICAL TRANSPORT SAN ISIDRO COMM.",
            "city": "SELLS",
            "state": "AZ",
            "postal_code": "85634",
            "telephone_number": "520-383-1400",
            "fax_number": "520-383-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALFRED J. JUAN SR.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AJ MEDICAL TRANSPORT",
        "enumeration_date": "2007-05-16",
        "last_updated": "2011-12-27",
        "status": "A",
        "authorized_official_last_name": "JUAN",
        "authorized_official_first_name": "ALFRED",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR A J MEDICAL TRANSPORT",
        "authorized_official_telephone_number": "520-383-1400",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "EMERGENCY MEDICAL TE"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "LP029559",
            "primary": false
        },
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "AZ",
            "license": "AZ47621",
            "primary": false
        },
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "AZ",
            "license": "B40530",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "293808",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVAILITY",
            "identifier": "487828",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AL Transportation Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Basic Emergency Medical Technician in Sells, AZ
• Providers in Sells, AZ by specialty
• Basic Emergency Medical Technician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.