Provider Demographics
NPI:1770054298
Name:MOVITAXI
Entity type:Organization
Organization Name:MOVITAXI
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JUAN LUIS
Authorized Official - Middle Name:
Authorized Official - Last Name:CARRIL CUESTA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-310-7898
Mailing Address - Street 1:5870 CALLE TARTAK APART 2104
Mailing Address - Street 2:CONDOMINIO COSTA DEL SOL
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00979
Mailing Address - Country:US
Mailing Address - Phone:787-310-7898
Mailing Address - Fax:
Practice Address - Street 1:5870 CALLE TARTAK APART 2104
Practice Address - Street 2:CONDOMINIO COSTA DEL SOL
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00979
Practice Address - Country:US
Practice Address - Phone:787-310-7898
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-10
Last Update Date:2018-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport