Provider Demographics
NPI:1225494826
Name:SUN SWIFT, CORP.
Entity Type:Organization
Organization Name:SUN SWIFT, CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:T
Authorized Official - Last Name:MARQUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-234-4979
Mailing Address - Street 1:12150 SW 128TH CT STE 201
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-4667
Mailing Address - Country:US
Mailing Address - Phone:305-918-9159
Mailing Address - Fax:305-918-9244
Practice Address - Street 1:12150 SW 128TH CT STE 201
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-4667
Practice Address - Country:US
Practice Address - Phone:305-918-9159
Practice Address - Fax:305-918-9244
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-12
Last Update Date:2016-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)