Healthcare Provider Details

I. General information

NPI: 1508647512
Provider Name (Legal Business Name): RFC TRANSPORT, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2023
Last Update Date: 10/06/2023
Certification Date: 10/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

91-1001 KEAUNUI DR UNIT 106
EWA BEACH HI
96706-6325
US

IV. Provider business mailing address

91-1001 KEAUNUI DR UNIT 106
EWA BEACH HI
96706-6325
US

V. Phone/Fax

Practice location:
  • Phone: 808-387-6478
  • Fax:
Mailing address:
  • Phone: 808-387-6478
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State

VIII. Authorized Official

Name: MR. FERNANDO A CALIBUYOT JR.
Title or Position: OWNER OPERATOR
Credential: OWNER OPERATOR
Phone: 808-387-6478