Provider Demographics
NPI:1972043651
Name:LOGISTICS TECHNOLOGY SOLUTIONS
Entity Type:Organization
Organization Name:LOGISTICS TECHNOLOGY SOLUTIONS
Other - Org Name:JAIME TE LLEVA
Other - Org Type:Other Name
Authorized Official - Title/Position:CO-FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:MANUEL
Authorized Official - Last Name:CARRASQUILLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-528-1573
Mailing Address - Street 1:PO BOX 10433
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00922-0433
Mailing Address - Country:US
Mailing Address - Phone:787-620-2222
Mailing Address - Fax:
Practice Address - Street 1:1 ISLA GRANDE AIRPORT
Practice Address - Street 2:LOT 1 NORTH RAMP
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00907
Practice Address - Country:US
Practice Address - Phone:787-620-2222
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-01
Last Update Date:2017-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PRS1701CT261343900000X
PR1137TT344600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No344600000XTransportation ServicesTaxi