Provider Demographics
NPI:1013371764
Name:JJ O'NEILL TRANSPORT INC.
Entity Type:Organization
Organization Name:JJ O'NEILL TRANSPORT INC.
Other - Org Name:JJ O'NEILL TRANSPORT INC.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:O'NEILL ALFARO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:939-579-2277
Mailing Address - Street 1:HC 3 BOX 14514
Mailing Address - Street 2:
Mailing Address - City:AGUAS BUENAS
Mailing Address - State:PR
Mailing Address - Zip Code:00703-8341
Mailing Address - Country:US
Mailing Address - Phone:939-579-2277
Mailing Address - Fax:
Practice Address - Street 1:CARRETERA 173 RAMAL 792 KM 3.0
Practice Address - Street 2:BARRIO SANADURA
Practice Address - City:AGUAS BUENAS
Practice Address - State:PR
Practice Address - Zip Code:00703-8341
Practice Address - Country:US
Practice Address - Phone:939-579-2277
Practice Address - Fax:787-732-1298
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-08
Last Update Date:2016-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)