Healthcare Provider Details

I. General information

NPI: 1407793821
Provider Name (Legal Business Name): D MORILLO TRANSPORT INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/02/2026
Last Update Date: 05/02/2026
Certification Date: 05/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

49 AUSTIN ST APT 8
WORCESTER MA
01609-2462
US

IV. Provider business mailing address

49 AUSTIN ST APT 8
WORCESTER MA
01609-2462
US

V. Phone/Fax

Practice location:
  • Phone: 774-303-3468
  • Fax: 774-303-3468
Mailing address:
  • Phone: 774-303-3468
  • Fax: 774-303-3468

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code342000000X
TaxonomyTransportation Network Company
License Number
License Number State

VIII. Authorized Official

Name: MR. JOSE MORILLO
Title or Position: TRANSPORTATION
Credential: MORILLO
Phone: 774-303-3468