Provider Demographics
NPI:1114325065
Name:TRANSPORTACION DORADA CORP
Entity Type:Organization
Organization Name:TRANSPORTACION DORADA CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MISS
Authorized Official - First Name:CAROLYN
Authorized Official - Middle Name:
Authorized Official - Last Name:CARABALLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-404-9374
Mailing Address - Street 1:G 26 CALLE VELERO
Mailing Address - Street 2:URB COSTA SUR
Mailing Address - City:YAUCO
Mailing Address - State:PR
Mailing Address - Zip Code:00698-0000
Mailing Address - Country:US
Mailing Address - Phone:787-404-9374
Mailing Address - Fax:
Practice Address - Street 1:G26 CALLE VELERO
Practice Address - Street 2:URB COSTA SUR
Practice Address - City:YAUCO
Practice Address - State:PR
Practice Address - Zip Code:00698-4585
Practice Address - Country:US
Practice Address - Phone:787-404-9374
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-09
Last Update Date:2014-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PRS1519PCVTE347C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle