Provider Demographics
NPI:1669671053
Name:CRIS TRANSPORTATION SERVICES LLC
Entity Type:Organization
Organization Name:CRIS TRANSPORTATION SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:ISABEL
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-791-8077
Mailing Address - Street 1:5370 W STATE ROAD 84
Mailing Address - Street 2:BAY 1
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33314-1241
Mailing Address - Country:US
Mailing Address - Phone:954-791-8077
Mailing Address - Fax:954-791-7571
Practice Address - Street 1:5370 W STATE ROAD 84
Practice Address - Street 2:BAY 1
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33314-1241
Practice Address - Country:US
Practice Address - Phone:954-791-8077
Practice Address - Fax:954-791-7571
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-16
Last Update Date:2009-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPBC VH1944343800000X
FL10-91343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No343800000XTransportation ServicesSecured Medical Transport (VAN)