Provider Demographics
NPI:1881194272
Name:MINORITY MOBILE SYSTEM, INC.
Entity Type:Organization
Organization Name:MINORITY MOBILE SYSTEM, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALEIDA
Authorized Official - Middle Name:
Authorized Official - Last Name:COBO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-669-4550
Mailing Address - Street 1:8601 SW 129TH TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33156-6522
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8601 SW 129TH TER
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33156-6522
Practice Address - Country:US
Practice Address - Phone:305-669-4550
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:EPICMD TECHNOLOGIES LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-02-13
Last Update Date:2018-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)