Healthcare Provider Details

I. General information

NPI: 1912802117
Provider Name (Legal Business Name): R & M TRANSPORT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/09/2026
Last Update Date: 10/09/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15-1505 28TH AVE
KEAAU HI
96749
US

IV. Provider business mailing address

PO BOX 957
KEAAU HI
96749-0957
US

V. Phone/Fax

Practice location:
  • Phone: 808-640-9158
  • Fax:
Mailing address:
  • Phone: 808-640-9158
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number StateNULL

VIII. Authorized Official

Name: REY T CABACCANG
Title or Position: FOUNDER/OWNER
Credential:
Phone: 808-640-9158