MEDICARE: SOUTHWOOD MEDICAL TRANSPORT LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1285572040
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOUTHWOOD MEDICAL TRANSPORT LLC

Provider Business Mailing Address
First Line	:	3311 CRAIGO AVE
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79904-1003
Country	:	US
Telephone Number	:	877-216-1977
Fax Number	:

Provider Business Practice Location Address
First Line	:	3311 CRAIGO AVE
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79904-1003
Country	:	US
Telephone Number	:	877-216-1977
Fax Number	:

Authorized Official
Title or Position	:	CEO/GM
Name	:	BENJAMIN ALBERT AYON
Credential	:
Telephone Number	:	915-270-1845

Provider Enumeration Date	:	03/23/2026
Last Update Date	:	03/23/2026

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