Provider Demographics
NPI:1952559957
Name:TRANS AMERICA LIVE SOLUTIONS,INC.
Entity Type:Organization
Organization Name:TRANS AMERICA LIVE SOLUTIONS,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JUAN
Authorized Official - Middle Name:
Authorized Official - Last Name:CARRALERO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-506-5481
Mailing Address - Street 1:6742 FOREST HILL BLVD
Mailing Address - Street 2:#215
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33413
Mailing Address - Country:US
Mailing Address - Phone:786-506-5481
Mailing Address - Fax:
Practice Address - Street 1:6742 FOREST HILL BLVD
Practice Address - Street 2:#215
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33413
Practice Address - Country:US
Practice Address - Phone:786-506-5481
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-03
Last Update Date:2008-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty