Provider Demographics
NPI:1194407338
Name:M.T.T.T. MEDICAL TRANSPORT LLC.
Entity type:Organization
Organization Name:M.T.T.T. MEDICAL TRANSPORT LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:FIOR
Authorized Official - Middle Name:
Authorized Official - Last Name:GONZALEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:862-290-2676
Mailing Address - Street 1:109 HIGHVIEW DR
Mailing Address - Street 2:
Mailing Address - City:WOODLAND PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07424-2715
Mailing Address - Country:US
Mailing Address - Phone:862-290-2676
Mailing Address - Fax:973-339-9066
Practice Address - Street 1:109 HIGHVIEW DR
Practice Address - Street 2:
Practice Address - City:WOODLAND PARK
Practice Address - State:NJ
Practice Address - Zip Code:07424-2715
Practice Address - Country:US
Practice Address - Phone:862-290-2676
Practice Address - Fax:973-339-9066
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-07
Last Update Date:2023-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)