Provider Demographics
NPI:1831924653
Name:MAGNA TRANSPORT LLC
Entity type:Organization
Organization Name:MAGNA TRANSPORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MGR
Authorized Official - Prefix:MR
Authorized Official - First Name:JULIO
Authorized Official - Middle Name:
Authorized Official - Last Name:DOMINGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-326-7730
Mailing Address - Street 1:3128 SW 143RD PLACE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33175-7435
Mailing Address - Country:US
Mailing Address - Phone:786-326-7730
Mailing Address - Fax:754-816-5208
Practice Address - Street 1:3128 SW 143RD PLACE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33175-7435
Practice Address - Country:US
Practice Address - Phone:786-326-7730
Practice Address - Fax:754-816-5208
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-03
Last Update Date:2024-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No342000000XTransportation ServicesTransportation Network Company