Provider Demographics
NPI:1669821955
Name:TRANSFORMIO, LLC
Entity Type:Organization
Organization Name:TRANSFORMIO, LLC
Other - Org Name:METRANSPORTO.COM
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SENIOR MANAGING PARTNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:EVELYN
Authorized Official - Middle Name:
Authorized Official - Last Name:DIAZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-766-4865
Mailing Address - Street 1:PO BOX 3744
Mailing Address - Street 2:
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00970-3744
Mailing Address - Country:US
Mailing Address - Phone:787-766-4865
Mailing Address - Fax:787-708-1491
Practice Address - Street 1:1917 CALLE WILSON
Practice Address - Street 2:
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00717-1206
Practice Address - Country:US
Practice Address - Phone:787-766-4865
Practice Address - Fax:787-708-1491
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-07
Last Update Date:2016-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PRPCVTI-4743343900000X
PRPCVTE-4765343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)