Healthcare Provider Details
I. General information
NPI: 1982266243
Provider Name (Legal Business Name): JF TRANSPORT
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/07/2019
Last Update Date: 07/07/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
222 CALLE DEGETAU
SAN JUAN PR
00911-2318
US
IV. Provider business mailing address
222 CALLE DEGETAU
SAN JUAN PR
00911-2318
US
V. Phone/Fax
- Phone: 787-717-3520
- Fax:
- Phone: 787-717-3520
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 347E00000X |
| Taxonomy | Transportation Broker |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ERIC
PONCE
Title or Position: PRESIDENT
Credential:
Phone: 787-717-3520