Healthcare Provider Details

I. General information

NPI: 1013848563
Provider Name (Legal Business Name): A1 MED TRANSPO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2026
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

813 ANTLER DR APT B
MIDDLEBURY IN
46540-9444
US

IV. Provider business mailing address

813 ANTLER DR APT B
MIDDLEBURY IN
46540-9444
US

V. Phone/Fax

Practice location:
  • Phone: 574-606-3852
  • Fax:
Mailing address:
  • Phone: 574-606-3852
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State

VIII. Authorized Official

Name: JONATHAN AGUIRRE
Title or Position: MANAGER
Credential:
Phone: 574-606-3852