Provider Demographics
NPI:1841179074
Name:UFFRE, JOSE LUIS (OWNER)
Entity type:Individual
Prefix:
First Name:JOSE
Middle Name:LUIS
Last Name:UFFRE
Suffix:
Gender:M
Credentials:OWNER
Other - Prefix:
Other - First Name:LESLIE
Other - Middle Name:
Other - Last Name:CALDERON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:15 PARKSIDE CIR
Mailing Address - Street 2:
Mailing Address - City:CRANSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02905-1329
Mailing Address - Country:US
Mailing Address - Phone:401-255-4868
Mailing Address - Fax:
Practice Address - Street 1:15 PARKSIDE CIR
Practice Address - Street 2:
Practice Address - City:CRANSTON
Practice Address - State:RI
Practice Address - Zip Code:02905-1329
Practice Address - Country:US
Practice Address - Phone:401-255-4868
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-01
Last Update Date:2025-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)