Organization Active NPI

Pro Med Transit

Doing business as PM Transport

  • Transportation Broker
  • Lehigh Acres, FL
National Provider Identifier
1962917161
Registry record updated Dec 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Transportation BrokerTaxonomy code 347E00000X
License
P532-541-79-263-0 Issued in FL
Legal business name
PRO MED TRANSIT
Doing business as
PM Transport
Practice address
8411 Heron Pond Dr Apt 110
Lehigh Acres, FL 33972-8549
Phone
(239) 288-9470
NPI assigned
Dec 10, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2017

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

Authorized official

Name
Mr. Miguel A Puentes Jr., EXECUTIVENPI 1518466705
Title
Operations
Phone
(239) 288-9470

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Transportation Broker 347E00000X P532-541-79-263-0 FL Primary

Addresses

Primary practice location

8411 Heron Pond Dr Apt 110
Lehigh Acres, FL 33972-8549

Mailing address

PO Box 516
Lehigh Acres, FL 33970-0516
Phone (239) 288-9470

Other names 1

  • PM Transport Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1512864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512864000000",
    "number": "1962917161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 516",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339700516",
            "telephone_number": "239-288-9470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8411 HERON POND DR APT 110",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339728549",
            "telephone_number": "239-288-9470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO MED TRANSIT",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-10",
        "last_updated": "2017-12-10",
        "status": "A",
        "authorized_official_last_name": "PUENTES",
        "authorized_official_first_name": "MIGUEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OPERATIONS",
        "authorized_official_telephone_number": "239-288-9470",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "EXECUTIVE"
    },
    "taxonomies": [
        {
            "code": "347E00000X",
            "taxonomy_group": "",
            "desc": "Transportation Broker",
            "state": "FL",
            "license": "P532-541-79-263-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PM Transport",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lehigh Acres, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.