Provider Demographics
NPI:1407557242
Name:BRIGHTSTAR TRANSPORTATION SERVICES CORP
Entity Type:Organization
Organization Name:BRIGHTSTAR TRANSPORTATION SERVICES CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JORGE
Authorized Official - Middle Name:L
Authorized Official - Last Name:MANSO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-266-0956
Mailing Address - Street 1:3970 W FLAGLER ST STE 102
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-1642
Mailing Address - Country:US
Mailing Address - Phone:786-266-0956
Mailing Address - Fax:
Practice Address - Street 1:3970 W FLAGLER ST STE 102
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-1642
Practice Address - Country:US
Practice Address - Phone:786-266-0956
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-16
Last Update Date:2023-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)