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Contact Information

ALFRED J. JUAN SR.
HOUSE AZ. 26-24-CH47
A J MEDICAL TRANSPORT SAN ISIDRO COMM.
SELLS, AZ85634
 Phone: 520-383-1400
 Fax: 520-383-1400
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medical Technician, Basic

146N00000X
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for ALFRED J. JUAN SR.

NPI Number 1679789309
LBN Legal business name ALFRED J. JUAN SR.
Authorized official ALFRED JUAN - (DIRECTOR A J MEDICAL TRANSPORT)
Entity Organization
Organization subpart 1 Yes
Enumeration date 05/16/2007
Last updated 12/27/2011 - About 14 years ago
Identifiers
AZ License # AZ47621
AZ License # B40530
AZ License # LP029559
AZ Medicaid 293808
AZ Other 487828 AVAILITY
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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