Provider Demographics
NPI:1891679239
Name:RIJO, GERALD
Entity type:Individual
Prefix:
First Name:GERALD
Middle Name:
Last Name:RIJO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8075 SW 107TH AVE APT 115
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-4885
Mailing Address - Country:US
Mailing Address - Phone:646-644-7543
Mailing Address - Fax:
Practice Address - Street 1:8075 SW 107TH AVE APT 115
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-4885
Practice Address - Country:US
Practice Address - Phone:646-644-7543
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-31
Last Update Date:2025-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLR200280872970172A00000X
FLDJ00PM347C00000X
FL343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No172A00000XOther Service ProvidersDriver
No347C00000XTransportation ServicesPrivate Vehicle