Provider Demographics
NPI:1841168382
Name:DTM INC
Entity type:Organization
Organization Name:DTM INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JUAN
Authorized Official - Middle Name:
Authorized Official - Last Name:AGUILERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-863-0401
Mailing Address - Street 1:78401 HIGHWAY 111 STE F
Mailing Address - Street 2:
Mailing Address - City:LA QUINTA
Mailing Address - State:CA
Mailing Address - Zip Code:92253-2066
Mailing Address - Country:US
Mailing Address - Phone:760-863-0401
Mailing Address - Fax:760-863-0279
Practice Address - Street 1:78401 HIGHWAY 111 STE F
Practice Address - Street 2:
Practice Address - City:LA QUINTA
Practice Address - State:CA
Practice Address - Zip Code:92253-2066
Practice Address - Country:US
Practice Address - Phone:760-863-0401
Practice Address - Fax:760-863-0279
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-27
Last Update Date:2025-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)