Provider Demographics
NPI:1962061200
Name:RIDE HEALTHY TRANSPORTATION SERVICES LLC
Entity type:Organization
Organization Name:RIDE HEALTHY TRANSPORTATION SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LUIS
Authorized Official - Middle Name:M
Authorized Official - Last Name:FUENTES
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:305-505-7222
Mailing Address - Street 1:15371 SW 36TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33185-4724
Mailing Address - Country:US
Mailing Address - Phone:305-505-7222
Mailing Address - Fax:
Practice Address - Street 1:15371 SW 36TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33185-4724
Practice Address - Country:US
Practice Address - Phone:305-505-7222
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-11
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle