Provider Demographics
NPI:1487275103
Name:MALIBU CAR SERVICE INC
Entity type:Organization
Organization Name:MALIBU CAR SERVICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OPERATION MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:E
Authorized Official - Last Name:ESTRADA OSORIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-671-4360
Mailing Address - Street 1:2068 MATTHEWS AVE STE 3
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10462-2640
Mailing Address - Country:US
Mailing Address - Phone:347-881-3436
Mailing Address - Fax:
Practice Address - Street 1:1231 LAFAYETTE AVE STE L2
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10474-5331
Practice Address - Country:US
Practice Address - Phone:347-881-3436
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-05
Last Update Date:2020-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi