Healthcare Provider Details

I. General information

NPI: 1346144680
Provider Name (Legal Business Name): DD MED TRANS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10320 W MCDOWELL RD STE M1343
AVONDALE AZ
85392-4878
US

IV. Provider business mailing address

10320 W MCDOWELL RD STE M1343
AVONDALE AZ
85392-4878
US

V. Phone/Fax

Practice location:
  • Phone: 602-434-9669
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code342000000X
TaxonomyTransportation Network Company
License Number
License Number StateNULL

VIII. Authorized Official

Name: MR. JOSE ESQUIVEL
Title or Position: PRESIDENT
Credential:
Phone: 480-310-9762