Provider Demographics
NPI:1083208409
Name:UNITED EXPRESS 11.CORP
Entity Type:Organization
Organization Name:UNITED EXPRESS 11.CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RICARDO
Authorized Official - Middle Name:
Authorized Official - Last Name:ALONSO WONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:833-246-6368
Mailing Address - Street 1:517 FRANKLIN RD
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33405-4315
Mailing Address - Country:US
Mailing Address - Phone:833-246-6368
Mailing Address - Fax:
Practice Address - Street 1:517 FRANKLIN RD
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33405-4315
Practice Address - Country:US
Practice Address - Phone:833-246-6368
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-25
Last Update Date:2021-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)