Provider Demographics
NPI:1619615994
Name:ROBLES TRANSPORTATION SERVICE
Entity type:Organization
Organization Name:ROBLES TRANSPORTATION SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDNTE
Authorized Official - Prefix:
Authorized Official - First Name:INO
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBLES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-536-3952
Mailing Address - Street 1:923 CALLE LIRIO
Mailing Address - Street 2:
Mailing Address - City:TRUJILLO ALTO
Mailing Address - State:PR
Mailing Address - Zip Code:00976-2721
Mailing Address - Country:US
Mailing Address - Phone:787-536-3952
Mailing Address - Fax:
Practice Address - Street 1:923 CALLE LIRIO
Practice Address - Street 2:
Practice Address - City:TRUJILLO ALTO
Practice Address - State:PR
Practice Address - Zip Code:00976-2721
Practice Address - Country:US
Practice Address - Phone:787-536-3952
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-05-25
Last Update Date:2022-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)