Provider Demographics
NPI:1619576113
Name:CVJV ENTERPRISE CORP
Entity type:Organization
Organization Name:CVJV ENTERPRISE CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTIAN
Authorized Official - Middle Name:ANDRES
Authorized Official - Last Name:VERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-393-4163
Mailing Address - Street 1:6941 NW 107TH CT # 100J
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33178-3652
Mailing Address - Country:US
Mailing Address - Phone:954-393-4163
Mailing Address - Fax:
Practice Address - Street 1:8180 NW 36TH ST STE 100J
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33166-6650
Practice Address - Country:US
Practice Address - Phone:954-393-4163
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-26
Last Update Date:2020-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)