Healthcare Provider Details

I. General information

NPI: 1609516145
Provider Name (Legal Business Name): R&I TRANSPORTATION INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/31/2022
Last Update Date: 03/31/2022
Certification Date: 03/31/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 INGLESIDE AVE
WORCESTER MA
01604-4766
US

IV. Provider business mailing address

200 INGLESIDE AVE
WORCESTER MA
01604-4766
US

V. Phone/Fax

Practice location:
  • Phone: 774-232-4641
  • Fax:
Mailing address:
  • Phone: 774-232-4641
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172A00000X
TaxonomyDriver
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: RAMON LLANOS
Title or Position: PRESIDENT
Credential:
Phone: 508-410-7012