=====================================================
General NPI Number Information
=====================================================
NPI Number | 1932802105
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CHEOS TRANSPORTATION
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/24/2023
-----------------------------------------------------
Last Update Date | 03/24/2023
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 101 MERRITT 7 CORPORATE PARK, 3RD FLOOR
-----------------------------------------------------
City | NORWALK
-----------------------------------------------------
State | CT
-----------------------------------------------------
Zip | 06851
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 475-283-9253
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 101 MERRITT 7 CORPORATE PARK, 3RD FLOOR
-----------------------------------------------------
City | NORWALK
-----------------------------------------------------
State | CT
-----------------------------------------------------
Zip | 06851
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 475-283-9253
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | JOSE DAVID RIVERA
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 203-510-6935
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 344600000X
-----------------------------------------------------
Taxonomy Name | Taxi
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------