Active NPI
MCT Express Inc
- Ambulance
- Miami, FL
National Provider Identifier
1891840401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 1328
- Legal business name
- MCT EXPRESS INC
- Practice address
- 2766 NW 62 St
Miami, FL 33147-7662 - Phone
- (305) 779-0505
- NPI assigned
- Jan 24, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Rene Gonzalez
- Title
- Cfo
- Phone
- (305) 779-0505
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 1328 | FL | Primary |
Addresses
Primary practice location
2766 NW 62 St
Miami, FL 33147-7662
Mailing address
2766 NW 62ND St
Miami, FL 33147-7662
Phone (305) 779-0505
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 77027 | Medicaid | FL |
Other names 1
- Miami-Dade Ambulance Service
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080222000312 | FL | Part B Supplier - Ambulance Service Supplier | 7810071354 | Practice locations: Lauderdale Lakes, FL; Miami, FL; West Palm Beach, FL |
National Provider Directory
National Provider DirectoryLocations
7355 Commercial Cir
#4
Fort Pierce, FL 34951
Phone (772) 400-6100
3300 SW 11th Ave
Ft Lauderdale, FL 33315
2000 N State Road 7
Lauderdale Lakes, FL 33313
Phone (954) 764-6262
2724 Shawnee Ave
West Palm Beach, FL 33409
Phone (561) 233-0500
Networks
- HealthSun Health Plans Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1891840401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2766 NW 62ND ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331477662",
"telephone_number": "305-779-0505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2766 NW 62 ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331477662",
"telephone_number": "305-779-0505"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MCT EXPRESS INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-24",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "GONZALEZ",
"authorized_official_first_name": "RENE",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "305-779-0505",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "FL",
"license": "1328",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "77027",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Miami-Dade Ambulance Service",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.