Provider Demographics
NPI:1831932284
Name:SAPPHIRE TRANSPORT INC
Entity type:Organization
Organization Name:SAPPHIRE TRANSPORT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ALBERTO
Authorized Official - Middle Name:RUDY
Authorized Official - Last Name:HERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-702-2557
Mailing Address - Street 1:766 NW BRISTOL ST
Mailing Address - Street 2:
Mailing Address - City:PORT ST LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34983-8305
Mailing Address - Country:US
Mailing Address - Phone:772-380-7189
Mailing Address - Fax:772-673-8290
Practice Address - Street 1:766 NW BRISTOL ST
Practice Address - Street 2:
Practice Address - City:PORT ST LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34983-8305
Practice Address - Country:US
Practice Address - Phone:772-380-7189
Practice Address - Fax:772-673-8290
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-14
Last Update Date:2024-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)