Provider Demographics
NPI:1477953131
Name:PREFERRED CARE TRANSPORTATION SERVICE, INC.
Entity type:Organization
Organization Name:PREFERRED CARE TRANSPORTATION SERVICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:LUIS
Authorized Official - Middle Name:
Authorized Official - Last Name:DOMINGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-328-5248
Mailing Address - Street 1:914 SOUNDVIEW AVE
Mailing Address - Street 2:SUITE 3
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10473-3759
Mailing Address - Country:US
Mailing Address - Phone:718-328-5248
Mailing Address - Fax:718-893-4197
Practice Address - Street 1:914 SOUNDVIEW AVE
Practice Address - Street 2:SUITE 3
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10473-3759
Practice Address - Country:US
Practice Address - Phone:718-328-5248
Practice Address - Fax:718-893-4197
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-01
Last Update Date:2014-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYB02783343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)