Provider Demographics
NPI:1881581601
Name:CORAL CARE RIDES LLC
Entity type:Organization
Organization Name:CORAL CARE RIDES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:R
Authorized Official - Last Name:MARTINEZ RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-746-1917
Mailing Address - Street 1:8140 COLLEGE PKWY STE 104
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33919-5189
Mailing Address - Country:US
Mailing Address - Phone:305-746-1917
Mailing Address - Fax:707-244-9758
Practice Address - Street 1:8140 COLLEGE PKWY STE 104
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33919-5189
Practice Address - Country:US
Practice Address - Phone:305-746-1917
Practice Address - Fax:707-244-9758
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-23
Last Update Date:2025-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)