Provider Demographics
NPI:1174280739
Name:INTERNATIONAL LUXURY TRANSPORTATION CORP
Entity Type:Organization
Organization Name:INTERNATIONAL LUXURY TRANSPORTATION CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WARLING
Authorized Official - Middle Name:RAFAEL
Authorized Official - Last Name:TORRES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-300-7962
Mailing Address - Street 1:21426 41ST AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:BAYSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11361-2149
Mailing Address - Country:US
Mailing Address - Phone:718-300-7962
Mailing Address - Fax:
Practice Address - Street 1:21426 41ST AVE STE 100
Practice Address - Street 2:
Practice Address - City:BAYSIDE
Practice Address - State:NY
Practice Address - Zip Code:11361-2149
Practice Address - Country:US
Practice Address - Phone:718-300-7962
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-18
Last Update Date:2021-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)