Provider Demographics
NPI:1396383741
Name:M&Y GROUP LLC
Entity Type:Organization
Organization Name:M&Y GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:YADIL
Authorized Official - Middle Name:
Authorized Official - Last Name:OFARRILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-355-1391
Mailing Address - Street 1:430 VALENCIA AVE APT 2
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-5740
Mailing Address - Country:US
Mailing Address - Phone:786-355-1391
Mailing Address - Fax:
Practice Address - Street 1:430 VALENCIA AVE APT 2
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-5740
Practice Address - Country:US
Practice Address - Phone:786-355-1391
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-17
Last Update Date:2019-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)