MEDICARE: 365 MEDTRANS CORP

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	343800000X	Secured Medical Transport (VAN)
2	343900000X	Non-emergency Medical Transport (VAN)
3	344600000X	Taxi
4	347E00000X	Transportation Broker

General Provider Information

NPI Number	:	1386488328
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	365 MEDTRANS CORP

Provider Business Mailing Address
First Line	:	8217 SW 72ND AVE APT 1907
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33143-8019
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8217 SW 72ND AVE APT 1907
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33143-8019
Country	:	US
Telephone Number	:	917-678-2119
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	DALMI BURGOS
Credential	:
Telephone Number	:	917-678-2119

Provider Enumeration Date	:	06/24/2024
Last Update Date	:	06/24/2024

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Directions to “365 MEDTRANS CORP ” Practice Location

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