Provider Demographics
NPI:1851698161
Name:RELIABLE MEDICA TRANSPORT LLC.
Entity Type:Organization
Organization Name:RELIABLE MEDICA TRANSPORT LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RUBEN
Authorized Official - Middle Name:JESSY
Authorized Official - Last Name:MOJICA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-963-2865
Mailing Address - Street 1:5 CLAPP ST APT 1
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01610-2652
Mailing Address - Country:US
Mailing Address - Phone:508-963-2865
Mailing Address - Fax:
Practice Address - Street 1:237 CHANDLER ST
Practice Address - Street 2:SUITE 114
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01609-2935
Practice Address - Country:US
Practice Address - Phone:508-963-2865
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-23
Last Update Date:2011-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)