Provider Demographics
NPI:1205486834
Name:SUPER FAST LIMOUSINE
Entity type:Organization
Organization Name:SUPER FAST LIMOUSINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:IZQUIERDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-690-4306
Mailing Address - Street 1:4405 5TH AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11220-6838
Mailing Address - Country:US
Mailing Address - Phone:718-438-6262
Mailing Address - Fax:718-853-3446
Practice Address - Street 1:4409 5TH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11220-6837
Practice Address - Country:US
Practice Address - Phone:718-438-6262
Practice Address - Fax:718-853-3446
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-16
Last Update Date:2022-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347E00000XTransportation ServicesTransportation Broker