Provider Demographics
NPI:1205258530
Name:ELDERLY TRANSPORTATION SERVICES MANAGEMENT LLC
Entity type:Organization
Organization Name:ELDERLY TRANSPORTATION SERVICES MANAGEMENT LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:RUIZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-771-6900
Mailing Address - Street 1:BOX 2000 CARR 8177
Mailing Address - Street 2:SUITE 26 PMB 218
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00966-3762
Mailing Address - Country:US
Mailing Address - Phone:787-771-6900
Mailing Address - Fax:787-771-6901
Practice Address - Street 1:CARR 199 EDIF ALB PLAZA SUITE #16
Practice Address - Street 2:
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00969
Practice Address - Country:US
Practice Address - Phone:787-771-6900
Practice Address - Fax:787-771-6901
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-06
Last Update Date:2016-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347E00000XTransportation ServicesTransportation Broker