Provider Demographics
NPI:1669928826
Name:EAGLE TAXI AND LIMO INC
Entity type:Organization
Organization Name:EAGLE TAXI AND LIMO INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:NIEVES
Authorized Official - Middle Name:IRENE
Authorized Official - Last Name:RIERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-222-1428
Mailing Address - Street 1:1304 E LAKE ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55407-1776
Mailing Address - Country:US
Mailing Address - Phone:612-222-1428
Mailing Address - Fax:
Practice Address - Street 1:1304 E LAKE ST
Practice Address - Street 2:SUITE 100
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55407-1776
Practice Address - Country:US
Practice Address - Phone:612-222-1428
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-28
Last Update Date:2016-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN867929000037344600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi