MEDICARE: CRUCIAL TRANSPORTATION INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1407448962
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CRUCIAL TRANSPORTATION INC

Provider Business Mailing Address
First Line	:	8217 SW 72ND AVE APT 1907
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33143-8019
Country	:	US
Telephone Number	:	305-310-8452
Fax Number	:

Provider Business Practice Location Address
First Line	:	1480 NW NORTH RIVER DR
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33125-2867
Country	:	US
Telephone Number	:	305-310-8452
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	DALADIER BURGOS
Credential	:
Telephone Number	:	305-310-8452

Provider Enumeration Date	:	02/05/2021
Last Update Date	:	01/24/2024

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Directions to “CRUCIAL TRANSPORTATION INC ” Practice Location

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