Healthcare Provider Details

I. General information

NPI: 1881051167
Provider Name (Legal Business Name): RIDE2MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2016
Last Update Date: 09/16/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2766 NW 62ND ST
MIAMI FL
33147-7662
US

IV. Provider business mailing address

2766 NW 62ND ST
MIAMI FL
33147-7662
US

V. Phone/Fax

Practice location:
  • Phone: 305-265-3333
  • Fax: 305-675-3221
Mailing address:
  • Phone: 305-265-3333
  • Fax: 305-675-3221

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number
License Number State

VIII. Authorized Official

Name: MR. RAYMOND GONZALEZ
Title or Position: PRESIDENT & CEO
Credential:
Phone: 305-537-4146