Provider Demographics
NPI:1952069502
Name:MANGA TRANSPORTATION CORP
Entity Type:Organization
Organization Name:MANGA TRANSPORTATION CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YHOENNY
Authorized Official - Middle Name:
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-399-2415
Mailing Address - Street 1:903 SHERIDAN AVE 2ND FL
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10451-3304
Mailing Address - Country:US
Mailing Address - Phone:585-797-0333
Mailing Address - Fax:585-797-0331
Practice Address - Street 1:903 SHERIDAN AVE 2ND FL
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10451-3304
Practice Address - Country:US
Practice Address - Phone:585-797-0333
Practice Address - Fax:585-797-0331
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-01
Last Update Date:2021-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)