Provider Demographics
NPI:1962962555
Name:TRANSPORT LIFES CORP.
Entity type:Organization
Organization Name:TRANSPORT LIFES CORP.
Other - Org Name:<UNAVAIL>
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:DAVID ESPADA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-508-6283
Mailing Address - Street 1:HC 3 BOX 18295
Mailing Address - Street 2:
Mailing Address - City:COAMO
Mailing Address - State:PR
Mailing Address - Zip Code:00769-9779
Mailing Address - Country:US
Mailing Address - Phone:787-508-6283
Mailing Address - Fax:
Practice Address - Street 1:15 CALLE CERRILLO
Practice Address - Street 2:URB EL BOSQUE
Practice Address - City:COAMO
Practice Address - State:PR
Practice Address - Zip Code:00769
Practice Address - Country:US
Practice Address - Phone:787-508-6283
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-21
Last Update Date:2019-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No343800000XTransportation ServicesSecured Medical Transport (VAN)
No347C00000XTransportation ServicesPrivate Vehicle