MEDICARE: READY TO TRANSPORT INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)	4443	FL

General Provider Information

NPI Number	:	1093216251
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	READY TO TRANSPORT INC.

Provider Business Mailing Address
First Line	:	2300 W 84TH ST STE 201
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33016-5771
Country	:	US
Telephone Number	:	786-666-0474
Fax Number	:	786-666-0508

Provider Business Practice Location Address
First Line	:	2300 W 84TH ST STE 201
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33016-5771
Country	:	US
Telephone Number	:	786-666-0474
Fax Number	:	786-666-0508

Authorized Official
Title or Position	:	CEO
Name	:	LISBEY DE LA COTERA
Credential	:
Telephone Number	:	786-666-0474

Provider Enumeration Date	:	02/23/2018
Last Update Date	:	02/23/2018

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