Provider Demographics
NPI:1225478902
Name:JUANITA'S TRANSPORT, LLC
Entity Type:Organization
Organization Name:JUANITA'S TRANSPORT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JESSE
Authorized Official - Middle Name:HECTOR
Authorized Official - Last Name:FIGUEROA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:520-227-1821
Mailing Address - Street 1:3996 N PLANTATION RD
Mailing Address - Street 2:
Mailing Address - City:DOUGLAS
Mailing Address - State:AZ
Mailing Address - Zip Code:85607-6029
Mailing Address - Country:US
Mailing Address - Phone:520-227-1821
Mailing Address - Fax:520-226-8507
Practice Address - Street 1:3996 N PLANTATION RD
Practice Address - Street 2:
Practice Address - City:DOUGLAS
Practice Address - State:AZ
Practice Address - Zip Code:85607-6029
Practice Address - Country:US
Practice Address - Phone:520-227-1821
Practice Address - Fax:520-226-8507
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-26
Last Update Date:2013-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ343800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)