Provider Demographics
NPI:1326327065
Name:QUALITY REHAB TRANSPORTATION,INC.
Entity Type:Organization
Organization Name:QUALITY REHAB TRANSPORTATION,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:ENRIQUE
Authorized Official - Last Name:RUIZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-389-2248
Mailing Address - Street 1:4115 SW 97TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33165-5114
Mailing Address - Country:US
Mailing Address - Phone:786-326-0917
Mailing Address - Fax:786-431-2447
Practice Address - Street 1:4115 SW 97TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33165-5114
Practice Address - Country:US
Practice Address - Phone:786-326-0917
Practice Address - Fax:786-431-2447
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-11
Last Update Date:2011-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)