Provider Demographics
NPI:1437897097
Name:DEFINITIVE CARE TRANSPORTATION LLC.
Entity Type:Organization
Organization Name:DEFINITIVE CARE TRANSPORTATION LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MIGUEL
Authorized Official - Middle Name:ANGEL
Authorized Official - Last Name:CRESPO
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:716-328-2829
Mailing Address - Street 1:80 ULLMAN ST
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14207-1114
Mailing Address - Country:US
Mailing Address - Phone:716-328-2829
Mailing Address - Fax:
Practice Address - Street 1:80 ULLMAN ST
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14207-1114
Practice Address - Country:US
Practice Address - Phone:716-328-2829
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-24
Last Update Date:2022-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi