| Organization Name: | ALFRED J. JUAN SR. |
| NPI Number: | 1679789309 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ALFRED J JUAN (DIRECTOR A J MEDICAL TRANSPORT) |
| Mailing Address: | House Az. 26-24-ch47 A J Medical Transport San Isidro Comm. Sells |
| State: | AZ US |
| Postal Code: | 85634 |
| Phone Number: | 5203831400 |
| Fax Number: | 5203831400 |
| NPI Enumeration Date: | 05/16/2007 |
| NPI Last Update Date: | 12/27/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 146N00000X |
| License Number: | AZ47621 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | AZ |
| Taxonomy Type: | Emergency Medical Service Providers |
| Taxonomy Classification: | Emergency Medical Technician, Basic |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards. |