| NPI | 1477312098 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IZAAC MIKAEL MIRANDA ALBA Owner 737-357-5564 |
| Organization Subpart ? | No |
| Primary Taxonomy | 347C00000X Private Vehicle |
| Additional Taxonomies | 343800000X Secured Medical Transport (VAN) |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2024-03-18 |
| Last Update Date | 2024-06-14 |