Provider Demographics
NPI:1487256053
Name:PRIORITY ONE TRANSPORT LLC
Entity type:Organization
Organization Name:PRIORITY ONE TRANSPORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT / MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:VICENTE
Authorized Official - Middle Name:C
Authorized Official - Last Name:BORJA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:671-685-6970
Mailing Address - Street 1:1350 N MARINE CORPS DR STE 205
Mailing Address - Street 2:
Mailing Address - City:TAMUNING
Mailing Address - State:GU
Mailing Address - Zip Code:96913-4329
Mailing Address - Country:US
Mailing Address - Phone:671-685-6970
Mailing Address - Fax:
Practice Address - Street 1:1350 N MARINE CORPS DR STE 205
Practice Address - Street 2:
Practice Address - City:TAMUNING
Practice Address - State:GU
Practice Address - Zip Code:96913-4329
Practice Address - Country:US
Practice Address - Phone:671-685-6970
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-09
Last Update Date:2024-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport