Provider Demographics
NPI:1124753744
Name:AJR TRANSPORTATION MANAGEMENT LLC
Entity type:Organization
Organization Name:AJR TRANSPORTATION MANAGEMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RENE
Authorized Official - Middle Name:ALBERTO
Authorized Official - Last Name:DE LA ROSA QUIROZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:929-290-6078
Mailing Address - Street 1:3305 FULTON ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11208-2014
Mailing Address - Country:US
Mailing Address - Phone:347-221-1414
Mailing Address - Fax:
Practice Address - Street 1:3305 FULTON ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11208-2014
Practice Address - Country:US
Practice Address - Phone:347-221-1414
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-18
Last Update Date:2023-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)