Provider Demographics
NPI:1912271941
Name:TRANSPORTE CALEB CORP.
Entity Type:Organization
Organization Name:TRANSPORTE CALEB CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:WILSON
Authorized Official - Middle Name:I
Authorized Official - Last Name:PEREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-216-9768
Mailing Address - Street 1:PO BOX 1940
Mailing Address - Street 2:
Mailing Address - City:ANASCO
Mailing Address - State:PR
Mailing Address - Zip Code:00610-1940
Mailing Address - Country:US
Mailing Address - Phone:787-216-9768
Mailing Address - Fax:787-299-1201
Practice Address - Street 1:BARRIO CAGUABO CARR 115 KM 5.6
Practice Address - Street 2:
Practice Address - City:ANASCO
Practice Address - State:PR
Practice Address - Zip Code:00610-1940
Practice Address - Country:US
Practice Address - Phone:787-216-9768
Practice Address - Fax:787-299-1201
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-08
Last Update Date:2012-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PRPCVTE-4611343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)