Provider Demographics
NPI:1003313693
Name:IDEAL NEMT INC.
Entity Type:Organization
Organization Name:IDEAL NEMT INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:EDUAR
Authorized Official - Middle Name:MIGUEL
Authorized Official - Last Name:RIOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-300-6447
Mailing Address - Street 1:2145 RESTON CIR
Mailing Address - Street 2:
Mailing Address - City:ROYAL PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-6111
Mailing Address - Country:US
Mailing Address - Phone:305-300-6447
Mailing Address - Fax:
Practice Address - Street 1:2145 RESTON CIR
Practice Address - Street 2:
Practice Address - City:ROYAL PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33411-6111
Practice Address - Country:US
Practice Address - Phone:305-300-6447
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-10
Last Update Date:2018-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)