Isla Azul Senior Transport Corp

Primary specialty

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

Legal business name

ISLA AZUL SENIOR TRANSPORT CORP

Doing business as

NEMT(Non Emergency Medical Transport)

Practice address

1037 NE Pine Island LN
Cape Coral, FL 33909-2176

Phone

(305) 680-6865

NPI assigned

Aug 21, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Guillermo Gonzalez Sr., CORPNPI 1780293068

Title

Owner

Phone

(305) 680-6865

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• NEMT(Non Emergency Medical Transport) Doing business as

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Guillermo Gonzalez I, CORP

  • Driver
  • Cape Coral, FL
  • NPI 1780293068
  NPD Authorized official

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

{
    "created_epoch": "1597968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597968000000",
    "number": "1720690662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1037 NE PINE ISLAND LN",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339092176",
            "telephone_number": "305-680-6865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1037 NE PINE ISLAND LN",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339092176",
            "telephone_number": "305-680-6865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLA AZUL SENIOR TRANSPORT CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-21",
        "last_updated": "2020-08-21",
        "certification_date": "2020-08-21",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "GUILLERMO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-680-6865",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "CORP"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1780293068",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.islazultransport.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "web site",
            "address_1": "1037 NE Pine Island Ln",
            "city": "Cape Coral",
            "state": "FL",
            "country_code": "US",
            "postal_code": "339092176",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "NEMT(Non Emergency Medical Transport)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Non-emergency Medical Transport (VAN) in Cape Coral, FL
• Providers in Cape Coral, 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 Aug 21, 2020; 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.