Provider Demographics
NPI:1528775301
Name:MED RYDE LLC
Entity type:Organization
Organization Name:MED RYDE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:OTHMANE
Authorized Official - Middle Name:
Authorized Official - Last Name:TRAIBA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-583-3967
Mailing Address - Street 1:9233 AVALON DR
Mailing Address - Street 2:
Mailing Address - City:WEYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02188-4638
Mailing Address - Country:US
Mailing Address - Phone:617-583-3967
Mailing Address - Fax:
Practice Address - Street 1:9233 AVALON DR
Practice Address - Street 2:
Practice Address - City:WEYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02188-4638
Practice Address - Country:US
Practice Address - Phone:617-583-3967
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-01
Last Update Date:2022-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes342000000XTransportation ServicesTransportation Network Company