Premium Transport Corp

Primary specialty

Transportation BrokerTaxonomy code 347E00000X

Legal business name

PREMIUM TRANSPORT CORP

Practice address

12210 SW 130TH St
Miami, FL 33186-6217

Phone

(786) 634-8659

NPI assigned

Jul 1, 2019

Organization subpart

No

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

Authorized official

Name

Yolexis Fuentes

Title

President

Phone

(305) 905-8272

Specialties & licenses 1

Addresses

Other names 1

• Premium Transport Corp Former legal business name

Electronic endpoints 7

Locations

Practitioners 1

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

• Liliana Sainz

  • Driver
  • Miami, FL
  • NPI 1679139349
  NPD

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

{
    "created_epoch": "1561939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561939200000",
    "number": "1932761939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12210 SW 130TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331866217",
            "telephone_number": "786-634-8659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12210 SW 130TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331866217",
            "telephone_number": "786-634-8659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIUM TRANSPORT CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-01",
        "last_updated": "2019-07-01",
        "status": "A",
        "authorized_official_last_name": "FUENTES",
        "authorized_official_first_name": "YOLEXIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-905-8272"
    },
    "taxonomies": [
        {
            "code": "347E00000X",
            "taxonomy_group": "",
            "desc": "Transportation Broker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "miami",
            "affiliation": "N",
            "endpointDescription": "miami",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Miami",
            "address_1": "12210 SW 130th St",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331866217",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Miami",
            "affiliation": "N",
            "endpointDescription": "Miami",
            "use": "DIRECT",
            "useDescription": "Direct",
            "useOtherDescription": "other",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "other",
            "address_1": "12210 SW 130th St",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331866217",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "miami",
            "affiliation": "N",
            "endpointDescription": "miami",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Miami",
            "address_1": "12210 SW 130th St",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331866217",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Miami",
            "affiliation": "N",
            "endpointDescription": "Miami",
            "use": "DIRECT",
            "useDescription": "Direct",
            "useOtherDescription": "other",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "other",
            "address_1": "12210 SW 130th St",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331866217",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "prrovider",
            "affiliation": "N",
            "endpointDescription": "provider",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "15048 sw 138 ter miami fl 33196",
            "address_1": "12210 SW 130th St",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331866217",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Miami",
            "affiliation": "N",
            "endpointDescription": "Miami",
            "use": "DIRECT",
            "useDescription": "Direct",
            "useOtherDescription": "other",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "other",
            "address_1": "12210 SW 130th St",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331866217",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "miami",
            "affiliation": "N",
            "endpointDescription": "miami",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Miami",
            "address_1": "12210 SW 130th St",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331866217",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Premium Transport Corp",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Premium Plus Health, LLC
• Premium Podiatry Healthcare & Services, Inc.
• Premium Quality Medical Center, Corp.
• Premium Rehab Services Inc
• Premium Surgical Services, L.L.C.
• Yadira Prende Alvarez, RBT 1053987
• Prende Enterprises, LLC (Vertical Fit)
• Yasleidi Prendes Hernandez
• Maydelin Prendes Rivero
• Xiomara Prendes Rodriguez

• Transportation Broker in Miami, FL
• Providers in Miami, FL by specialty
• Transportation Broker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2019; 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.