Provider Demographics
NPI:1356825012
Name:SPEED EXPRESS INC
Entity Type:Organization
Organization Name:SPEED EXPRESS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JANET
Authorized Official - Middle Name:
Authorized Official - Last Name:COSME
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:939-259-1262
Mailing Address - Street 1:ESCORIAL BUILDING ONE 1400 DE DIEGO
Mailing Address - Street 2:PMB 136
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00984
Mailing Address - Country:US
Mailing Address - Phone:787-320-7459
Mailing Address - Fax:
Practice Address - Street 1:ESCORIAL BUILDING ONE 1400 DE DIEGO
Practice Address - Street 2:PMB 136
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00984
Practice Address - Country:US
Practice Address - Phone:787-320-7459
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-19
Last Update Date:2018-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)