Provider Demographics
NPI:1922765379
Name:NCAJ SERVICES CORP
Entity Type:Organization
Organization Name:NCAJ SERVICES CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANGEL
Authorized Official - Middle Name:MARIO
Authorized Official - Last Name:ESCALONA ROJAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-542-5375
Mailing Address - Street 1:14411 COMMERCE WAY STE 205
Mailing Address - Street 2:
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33016-1531
Mailing Address - Country:US
Mailing Address - Phone:786-542-5375
Mailing Address - Fax:
Practice Address - Street 1:14411 COMMERCE WAY STE 205
Practice Address - Street 2:
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33016-1531
Practice Address - Country:US
Practice Address - Phone:786-542-5375
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-19
Last Update Date:2022-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies