Healthcare Provider Details

I. General information

NPI: 1821613050
Provider Name (Legal Business Name): SEGURA WORLDWIDE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2020
Last Update Date: 03/11/2021
Certification Date: 03/11/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

411 HACKENSACK AVE STE 257
HACKENSACK NJ
07601-6451
US

IV. Provider business mailing address

411 HACKENSACK AVE STE 257
HACKENSACK NJ
07601-6451
US

V. Phone/Fax

Practice location:
  • Phone: 201-886-3800
  • Fax: 718-228-5333
Mailing address:
  • Phone: 201-886-3800
  • Fax: 718-228-5333

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code344600000X
TaxonomyTaxi
License Number
License Number State

VIII. Authorized Official

Name: BISMAR B SEGURA
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 201-886-3800