Organization Active NPI

My Guardian Angel Transport Services Corp

  • Non-emergency Medical Transport (VAN)
  • Fort Myers, FL
National Provider Identifier
1811251028
Registry record updated Jul 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
1002235 Issued in FL
Legal business name
MY GUARDIAN ANGEL TRANSPORT SERVICES CORP
Practice address
5237 Summerlin Commons Blvd
Fort Myers, FL 33907-2158
Phone
(239) 822-0081
Fax
(941) 882-8267
NPI assigned
Jul 2, 2012
Last updated
Jul 2, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2012

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

Authorized official

Name
Mr. Ramon Villanueva Jr.
Title
President
Phone
(239) 822-0081

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 1002235 FL Primary

Addresses

Primary practice location

5237 Summerlin Commons Blvd
Fort Myers, FL 33907-2158

Mailing address

5237 Summerlin Commons Blvd
Fort Myers, FL 33907-2158
Phone (239) 822-0081

Other identifiers 1

IdentifierTypeStateIssuer
1002235OtherFLMEDICALTRANSPORT SERVICES

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1341187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341187200000",
    "number": "1811251028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5237 SUMMERLIN COMMONS BLVD",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339072158",
            "telephone_number": "239-822-0081",
            "fax_number": "941-882-8267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5237 SUMMERLIN COMMONS BLVD",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339072158",
            "telephone_number": "239-822-0081",
            "fax_number": "941-882-8267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY GUARDIAN ANGEL TRANSPORT SERVICES CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-02",
        "last_updated": "2012-07-02",
        "status": "A",
        "authorized_official_last_name": "VILLANUEVA",
        "authorized_official_first_name": "RAMON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-822-0081",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "FL",
            "license": "1002235",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICALTRANSPORT SERVICES",
            "identifier": "1002235",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2012; 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.