Organization Active NPI

MCT Express Inc

  • Ambulance
  • Miami, FL
National Provider Identifier
1891840401
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
1328 Issued in FL
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
77027MedicaidFL

Other names 1

  • Miami-Dade Ambulance Service Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 Directory

Locations

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.

Verify at the official NPI Registry.