Provider Demographics
NPI:1164935557
Name:CAR HEALTH CITA
Entity Type:Organization
Organization Name:CAR HEALTH CITA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PROPETOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RICARDO
Authorized Official - Middle Name:
Authorized Official - Last Name:MERCADO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-554-9168
Mailing Address - Street 1:PASEO ALPES 2197, SUITE #1
Mailing Address - Street 2:URB. LEVITOWN
Mailing Address - City:LEVITOWN
Mailing Address - State:PR
Mailing Address - Zip Code:00949
Mailing Address - Country:US
Mailing Address - Phone:787-554-9168
Mailing Address - Fax:
Practice Address - Street 1:PASEO ALPES 2197, SUITE #1
Practice Address - Street 2:URB. LEVITOWN
Practice Address - City:LEVITOWN
Practice Address - State:PR
Practice Address - Zip Code:00949
Practice Address - Country:US
Practice Address - Phone:787-554-9168
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-08
Last Update Date:2017-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)