Ecuadorian Express LLC

Primary specialty

TaxiTaxonomy code 344600000X

License

L256 50022 Issued in MN

Legal business name

ECUADORIAN EXPRESS LLC

Practice address

3905 Van Buren St NE
Minneapolis, MN 55421-3956

Phone

(612) 788-0607

NPI assigned

Jan 9, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Carlos Arturo Illisaca I

Title

Owner/Mannager

Phone

(612) 788-0607

Specialties & licenses 2

Addresses

Other names 1

• Ecuadorian Taxi Doing business as

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

{
    "created_epoch": "1483920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483920000000",
    "number": "1750827192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3905 VAN BUREN ST NE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554213956",
            "telephone_number": "612-788-0607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3905 VAN BUREN ST NE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554213956",
            "telephone_number": "612-788-0607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECUADORIAN EXPRESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-09",
        "last_updated": "2017-01-09",
        "status": "A",
        "authorized_official_last_name": "ILLISACA",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "ARTURO",
        "authorized_official_title_or_position": "OWNER/MANNAGER",
        "authorized_official_telephone_number": "612-788-0607",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "I"
    },
    "taxonomies": [
        {
            "code": "344600000X",
            "taxonomy_group": "",
            "desc": "Taxi",
            "state": "MN",
            "license": "L256 50022",
            "primary": true
        },
        {
            "code": "344600000X",
            "taxonomy_group": "",
            "desc": "Taxi",
            "state": "MN",
            "license": "L25650022",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ecuadorian Taxi",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jason David Eckmann, MD
• Michael D Eckroth, PA-C
• Steven John Eckstein, D.C.
• Theresa A Eckstein, LISW
• Shylo Eckstrom, R.D.H.
• Ecumen
• Ecumen Home Care, Inc
• Ecumen Home Care, Inc.
• Byron Wallis Eddy, D.O.
• Jancy Ann Eddy, WHNP-BC

• Taxi in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Taxi in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.

Verify at the official NPI Registry.