Provider Demographics
NPI:1669227153
Name:DR MEDICAL SERVICES LLC
Entity type:Organization
Organization Name:DR MEDICAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:MIGUEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:RUIZ
Authorized Official - Suffix:
Authorized Official - Credentials:LNHA
Authorized Official - Phone:951-695-3286
Mailing Address - Street 1:31593 SEASTAR PLACE
Mailing Address - Street 2:
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92592-2899
Mailing Address - Country:US
Mailing Address - Phone:951-695-3286
Mailing Address - Fax:
Practice Address - Street 1:31593 SEASTAR PLACE
Practice Address - Street 2:
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92592-2899
Practice Address - Country:US
Practice Address - Phone:951-695-3286
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-18
Last Update Date:2024-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)