Healthcare Provider Details

I. General information

NPI: 1356540900
Provider Name (Legal Business Name): SAN CEFERINO TRANSPORTATION CORP.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2007
Last Update Date: 07/13/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8755 NW 1ST AVE
EL PORTAL FL
33150-2401
US

IV. Provider business mailing address

8755 NW 1ST AVE
EL PORTAL FL
33150-2401
US

V. Phone/Fax

Practice location:
  • Phone: 786-285-6233
  • Fax:
Mailing address:
  • Phone: 786-285-6233
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number6040
License Number StateFL

VIII. Authorized Official

Name: ARIEL ZAYAS
Title or Position: ACCOUNTANT
Credential:
Phone: 786-285-6233