Provider Demographics
NPI:1144654708
Name:MOVILITY TRANSPORTATION GROUP, INC.
Entity type:Organization
Organization Name:MOVILITY TRANSPORTATION GROUP, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:TERESA
Authorized Official - Last Name:GIERBOLINI
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:787-360-4211
Mailing Address - Street 1:PO BOX 10513
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00922-0513
Mailing Address - Country:US
Mailing Address - Phone:787-707-1821
Mailing Address - Fax:787-783-3400
Practice Address - Street 1:1676 CALLE BELEN
Practice Address - Street 2:SUMMIT HILLS
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00920-4362
Practice Address - Country:US
Practice Address - Phone:787-707-1821
Practice Address - Fax:787-783-3400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-30
Last Update Date:2014-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1811540343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)