Provider Demographics
NPI:1346876059
Name:DIAZ TRANSPORT PR LLC
Entity Type:Organization
Organization Name:DIAZ TRANSPORT PR LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENTE
Authorized Official - Prefix:
Authorized Official - First Name:ABDEL
Authorized Official - Middle Name:O
Authorized Official - Last Name:DIAZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-225-3733
Mailing Address - Street 1:3 CALLE VEVE CALZADA N
Mailing Address - Street 2:
Mailing Address - City:SAN LORENZO
Mailing Address - State:PR
Mailing Address - Zip Code:00754-3520
Mailing Address - Country:US
Mailing Address - Phone:787-225-3733
Mailing Address - Fax:
Practice Address - Street 1:3 CALLE VEVE CALZADA N
Practice Address - Street 2:
Practice Address - City:SAN LORENZO
Practice Address - State:PR
Practice Address - Zip Code:00754-3520
Practice Address - Country:US
Practice Address - Phone:787-225-3733
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-14
Last Update Date:2021-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171WV0202XOther Service ProvidersContractorVehicle ModificationsGroup - Single Specialty