Our core team brings a combined entrepreneurial experience of over 55+ years of thought leadership from a wide spectrum of industries; NEMT, Operations, and Technology.

Alexander C. Vazquez
Alexander C. VazquezChief Executive Program Director
Alexander “Alex” Vazquez, a New York City native moved to Pittsburgh with a relentless passion for building businesses. Known for his ability to challenge the status quo, combined with his perseverance and strategic mindset, Alex has successfully built a multi-million dollar NEMT company within 2-years of his arrival. He has a unique talent for quickly understanding business needs and creating growth through smart decisions, all while staying focused on the long-term vision of his ventures. A passionate advocate for technology and innovation, Alex excels at identifying automation-driven business opportunities. Within just five years of launching his first business, Alex leveraged technology with vision to create additional wealth and opportunities for himself and others around him. Alex believes in diversifying and wishes to continue to build successful companies that give meaningful opportunities to others.
James Smith
James SmithCOO
James Smith is a well-known businessman with over 25 years of experience. He began his EMS career as an EMT in 1992, advancing his skills and certification to Paramedic in 1993. He continues to be active in EMS, serving as the Director of Operations for the same Non-Profit Ambulance Company. In 1995, Mr. Smith co-founded a NEMT / EMS company that is now one of the largest NEMT providers in Pennsylvania, employing over 200 employees with a fleet exceeding 130 vehicles. Mr. Smith has served as a Board / Committee Member with AAP, County 911, NORCOM Community Services, and his local EMS / Ambulance. He has been an active Strike Team Leader for FEMA and State response to catastrophic incidents. In 2013, Mr. Smith Founded JC Paratransit Solutions that services EMS / NEMT companies with vehicle, software, and consulting services. With the experience, knowledge, and proven success in EMS and the NEMT Industry, Mr. Smith heads the operations as the COO for R4H Medical Transportation for all locations throughout PA and other States.
Shhrigovind Tiwari
Shhrigovind TiwariTechnology
Shhrigovind “Shhri” Tiwari is a tech entrepreneur who successfully ran a self-funded, technology services company catering to customers from over 45 countries, with offices in 3 countries for close to 9 years. In his career spanning over 16 years, his key focus areas have been demand generation, creating high-performance result-oriented teams, and building automated processes across business horizontals. Having built products for his customers that clocked over $3 billion in online sales, over a million in monthly site visits to helping Fortune 100 companies drastically reduce their operations cost, Shhri has created significant value differentiators giving his customers a competitive edge to reach the top of their game. Shhri, an invited speaker by the Who’s Who of the IT fraternity, loves astrophysics. Though an engineering college drop-out, he has multiple publications in NASA, IEEE journals in the field of quantum physics and space propulsion. He is an avid traveler, plays guitar, and likes to hum while playing his piano.

Join our team today!

If you are looking to sell any equipment, please contact R4H Medical Transportation. We have 1000’s of contacts in the EMS, NEMT, and Paratransit Industry that are looking for affordable equipment solutions. Ambulance Cots, preferably Stryker Power Pro XT 6500, MX-Pro, Ferno Powercots, Stairchairs, and more are always in demand.

Send us an email letting us know what equipment you would like to sell and we’ll use our contacts to get your equipment sold quickly!