Healthcare Provider Details

I. General information

NPI: 1427605815
Provider Name (Legal Business Name): B & Y HEALTH TRANSPORT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2019
Last Update Date: 08/21/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10401 NW 30TH AVE
MIAMI FL
33147-1125
US

IV. Provider business mailing address

10401 NW 30TH AVE
MIAMI FL
33147-1125
US

V. Phone/Fax

Practice location:
  • Phone: 305-290-5644
  • Fax:
Mailing address:
  • Phone: 305-290-5644
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State

VIII. Authorized Official

Name: YAHIME GONZALEZ
Title or Position: MANAGER
Credential:
Phone: 305-290-5644