Provider Demographics
NPI:1821613050
Name:SEGURA WORLDWIDE LLC
Entity Type:Organization
Organization Name:SEGURA WORLDWIDE LLC
Other - Org Name:SEGURA EXECUTIVE TRANSPORTATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:BISMAR
Authorized Official - Middle Name:B
Authorized Official - Last Name:SEGURA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-886-3800
Mailing Address - Street 1:411 HACKENSACK AVE STE 257
Mailing Address - Street 2:
Mailing Address - City:HACKENSACK
Mailing Address - State:NJ
Mailing Address - Zip Code:07601-6451
Mailing Address - Country:US
Mailing Address - Phone:201-886-3800
Mailing Address - Fax:718-228-5333
Practice Address - Street 1:411 HACKENSACK AVE STE 257
Practice Address - Street 2:
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601-6451
Practice Address - Country:US
Practice Address - Phone:201-886-3800
Practice Address - Fax:718-228-5333
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-12
Last Update Date:2021-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No341600000XTransportation ServicesAmbulance
No344600000XTransportation ServicesTaxi