Provider Demographics
NPI:1780357665
Name:ROMANAS ENTERPRISE LLC
Entity type:Organization
Organization Name:ROMANAS ENTERPRISE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:ROMANAS
Authorized Official - Middle Name:
Authorized Official - Last Name:FREDERIQUE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-415-9518
Mailing Address - Street 1:22141 AQUILA ST
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33428-4009
Mailing Address - Country:US
Mailing Address - Phone:954-415-9518
Mailing Address - Fax:
Practice Address - Street 1:22141 AQUILA ST
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33428-4009
Practice Address - Country:US
Practice Address - Phone:954-415-9518
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-27
Last Update Date:2021-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)