Provider Demographics
NPI:1528708633
Name:REYES MEDICAL TRANSPORT, LLC
Entity type:Organization
Organization Name:REYES MEDICAL TRANSPORT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LUIS
Authorized Official - Middle Name:A
Authorized Official - Last Name:HOYOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-677-2192
Mailing Address - Street 1:URB. CAMINO REAL
Mailing Address - Street 2:CALLE PALMA REAL #14
Mailing Address - City:JUANA DIAZ
Mailing Address - State:PR
Mailing Address - Zip Code:00795
Mailing Address - Country:US
Mailing Address - Phone:787-677-2192
Mailing Address - Fax:
Practice Address - Street 1:URB. PASEO DEL PARQUE
Practice Address - Street 2:CALLE ACASIA J-1
Practice Address - City:JUANA DIAZ
Practice Address - State:PR
Practice Address - Zip Code:00795
Practice Address - Country:US
Practice Address - Phone:787-677-2192
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-29
Last Update Date:2022-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR483017OtherINCORPORATION