ALFRED J. JUAN SR. NPI 1679789309

NPI Information

NPI: 1679789309
Provider Name: ALFRED J. JUAN SR.

Doing Business As: AL TRANSPORTATION SERVICE

Classification: Emergency Medical Technician, Basic - 146N00000X
Entity Type: Organization
Address:
HOUSE AZ. 26-24-CH47
A J MEDICAL TRANSPORT SAN ISIDRO COMM.
SELLS, AZ
ZIP 85634
Phone: (520) 383-1400
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ALFRED J. JUAN SR. is an emergency medical technician basic in Sells, AZ. The provider is a Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards. ALFRED J. JUAN SR. NPI is 1679789309. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Al Transportation Service.

The provider's business location address is:

HOUSE AZ. 26-24-CH47
A J MEDICAL TRANSPORT SAN ISIDRO COMM.
SELLS, AZ
ZIP 85634
Phone: (520) 383-1400
Fax: (520) 383-1400

The provider's authorized official is Alfred J Juan .
The authorized official title is Director A J Medical Transport and has the following contact phone number (520) 383-1400.

The enumeration date for this NPI number is 5/16/2007 and was last updated on 12/27/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	146N00000X	Emergency Medical Technician, Basic	AZ47621	ARIZONA	No
2	363L00000X	Nurse Practitioner	LP029559	ARIZONA	No
3	146N00000X	Emergency Medical Technician, Basic	B40530	ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	487828	OTHER	ARIZONA	AVAILITY
2	293808	MEDICAID	ARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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