Provider Demographics
NPI:1154147262
Name:PLUS ULTRA CARE TRANSIT
Entity type:Organization
Organization Name:PLUS ULTRA CARE TRANSIT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:HONECKER
Authorized Official - Middle Name:
Authorized Official - Last Name:HERNANDEZ HERRERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:505-504-8489
Mailing Address - Street 1:1209 MOUNTAIN ROAD PL NE STE R
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87110-7845
Mailing Address - Country:US
Mailing Address - Phone:505-309-5991
Mailing Address - Fax:
Practice Address - Street 1:5520 EASTERN AVE SE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87108-5548
Practice Address - Country:US
Practice Address - Phone:505-309-5991
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-25
Last Update Date:2024-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)