Provider Demographics
NPI:1639931165
Name:RELIABLE MEDICAL TRANSPORT LLC
Entity Type:Organization
Organization Name:RELIABLE MEDICAL TRANSPORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MGR
Authorized Official - Prefix:
Authorized Official - First Name:JELACY
Authorized Official - Middle Name:JEANETT
Authorized Official - Last Name:TIRADOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-931-8082
Mailing Address - Street 1:4680 SW 153RD CT
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33185-5202
Mailing Address - Country:US
Mailing Address - Phone:786-380-7857
Mailing Address - Fax:
Practice Address - Street 1:7380 SW 162ND CT
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33193-4413
Practice Address - Country:US
Practice Address - Phone:786-931-8082
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-29
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)