Provider Demographics
NPI:1669970414
Name:ZUNI TRANSPORTATION INC.
Entity type:Organization
Organization Name:ZUNI TRANSPORTATION INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JORGE
Authorized Official - Middle Name:E
Authorized Official - Last Name:AZOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-258-9864
Mailing Address - Street 1:23635A S DIXIE HWY
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:FL
Mailing Address - Zip Code:33032-2424
Mailing Address - Country:US
Mailing Address - Phone:305-258-9864
Mailing Address - Fax:305-258-0536
Practice Address - Street 1:23635A S DIXIE HWY
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:FL
Practice Address - Zip Code:33032-2424
Practice Address - Country:US
Practice Address - Phone:305-258-9864
Practice Address - Fax:305-258-0536
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-26
Last Update Date:2018-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No343800000XTransportation ServicesSecured Medical Transport (VAN)
No344600000XTransportation ServicesTaxi
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL088326301Medicaid