Provider Demographics
NPI:1134800824
Name:MED RIDE TRANSPORTATION CORP
Entity type:Organization
Organization Name:MED RIDE TRANSPORTATION CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ARGUELLES
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:786-609-7948
Mailing Address - Street 1:422 SW 80TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33144-2122
Mailing Address - Country:US
Mailing Address - Phone:786-693-6062
Mailing Address - Fax:
Practice Address - Street 1:2100 W 76TH ST
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33016-5539
Practice Address - Country:US
Practice Address - Phone:786-693-6062
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-26
Last Update Date:2023-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)