Healthcare Provider Details

I. General information

NPI: 1225168842
Provider Name (Legal Business Name): FAUST'S TRANSPORTATION, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/06/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1010 FAUST LANE
EL PRADO NM
87529-1050
US

IV. Provider business mailing address

PO BOX 1050
EL PRADO NM
87529-1050
US

V. Phone/Fax

Practice location:
  • Phone: 505-758-3410
  • Fax: 505-758-1418
Mailing address:
  • Phone: 505-758-3410
  • Fax: 505-758-1418

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number10723
License Number StateNM
# 2
Primary TaxonomyY
Taxonomy Code344600000X
TaxonomyTaxi
License Number10723
License Number StateNM

VIII. Authorized Official

Name: MS. LORETTA E. GONZALES
Title or Position: OPERATIONS MANAGER
Credential:
Phone: 505-758-3410