Organization
ALFRED J. JUAN SR.
Active
Parent organization
AJ MEDICAL TRANSPORT
Other names
AL Transportation Service
Organization subpart
Yes
Provider details
NPI number
Legal business name
AJ MEDICAL TRANSPORT
Authorized official
MR. ALFRED J JUAN SR. EMERGENCY MEDICAL TE (DIRECTOR A J MEDICAL TRANSPORT)
(520) 383-1400
Entity
Organization
Contact information
Practice address
HOUSE AZ. 26-24-CH47, A J MEDICAL TRANSPORT SAN ISIDRO COMM., SELLS, AZ 85634
(520) 383-1400
(520) 383-1400
Mailing address
PO BOX 743, SELLS, AZ 85634-0743
(520) 383-1400
(520) 383-1400
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
AZ47621
AZ
146N00000X
Basic Emergency Medical Technician
Primary
B40530
AZ
363L00000X
Nurse Practitioner
LP029559
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
293808
—
AZ
01
—
487828
AVAILITY
AZ
Enumeration date
05/16/2007
Last updated
12/27/2011
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