Provider Demographics
NPI:1144996992
Name:JUAREZ TRANSPORTATION INC
Entity type:Organization
Organization Name:JUAREZ TRANSPORTATION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DRIVER
Authorized Official - Prefix:MR
Authorized Official - First Name:JULIO
Authorized Official - Middle Name:CESAR
Authorized Official - Last Name:JUAREZ
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:845-621-2134
Mailing Address - Street 1:844 RT 6
Mailing Address - Street 2:844 APT 5E
Mailing Address - City:MAHOPAC
Mailing Address - State:NY
Mailing Address - Zip Code:10541
Mailing Address - Country:US
Mailing Address - Phone:845-621-2134
Mailing Address - Fax:845-621-2134
Practice Address - Street 1:844 RT 6
Practice Address - Street 2:844 APT 5E
Practice Address - City:MAHOPAC
Practice Address - State:NY
Practice Address - Zip Code:10541
Practice Address - Country:US
Practice Address - Phone:845-621-2134
Practice Address - Fax:845-621-2134
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-20
Last Update Date:2021-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi