MEDICARE: MEDICAL CARE TRANSPORTATION INC

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)		FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1982827887
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDICAL CARE TRANSPORTATION INC

Provider Business Mailing Address
First Line	:	2766 NW 62ND ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33147-7662
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2766 NW 62ND ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33147-7662
Country	:	US
Telephone Number	:	305-633-0553
Fax Number	:

Authorized Official
Title or Position	:	CFO
Name	:	RENE GONZALEZ
Credential	:
Telephone Number	:	305-633-0553

Provider Enumeration Date	:	04/10/2007
Last Update Date	:	08/22/2020

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