Provider Demographics
NPI:1205250180
Name:SENIOR CARE TRANSPORTATION CORP
Entity type:Organization
Organization Name:SENIOR CARE TRANSPORTATION CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:SR
Authorized Official - Credentials:LPN
Authorized Official - Phone:787-507-0371
Mailing Address - Street 1:BES, BALDOROOTY #579
Mailing Address - Street 2:URB, LOS MAESTROS CALLE MARTIN CORCHADO #8234
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00717-0254
Mailing Address - Country:US
Mailing Address - Phone:787-507-0371
Mailing Address - Fax:787-507-0371
Practice Address - Street 1:BDA, BALDORIOLY #579
Practice Address - Street 2:
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00717
Practice Address - Country:US
Practice Address - Phone:787-507-0371
Practice Address - Fax:787-507-0371
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-12
Last Update Date:2014-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347E00000XTransportation ServicesTransportation Broker
No347C00000XTransportation ServicesPrivate Vehicle