MEDICARE: LUMINA PPEC TRANSPORT SERVICES, 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	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1780549303
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LUMINA PPEC TRANSPORT SERVICES, LLC

Provider Business Mailing Address
First Line	:	8407 PINEHURST DR
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33615-1532
Country	:	US
Telephone Number	:	786-384-0075
Fax Number	:

Provider Business Practice Location Address
First Line	:	8407 PINEHURST DR
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33615-1532
Country	:	US
Telephone Number	:	786-384-0075
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ALEJANDRO HORNIA BOSCH
Credential	:
Telephone Number	:	786-384-0075

Provider Enumeration Date	:	12/16/2025
Last Update Date	:	12/16/2025

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