Healthcare Provider Details

I. General information

NPI: 1184008427
Provider Name (Legal Business Name): DLS TRANSPORTATION CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2015
Last Update Date: 07/16/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

914 SOUNDVIEW AVE. SUITE 1, SECOND FLOOR
BRONX NY
10473-3759
US

IV. Provider business mailing address

914 SOUNDVIEW AVE SUITE 1, SECOND FLOOR
BRONX NY
10473-3759
US

V. Phone/Fax

Practice location:
  • Phone: 917-250-7133
  • Fax:
Mailing address:
  • Phone: 917-250-7133
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code344600000X
TaxonomyTaxi
License NumberB02846
License Number StateNY

VIII. Authorized Official

Name: MR. CARLOS DE LOS SANTOS
Title or Position: PRESIDENT
Credential:
Phone: 917-250-7133