Latino Executive, Inc

Primary specialty

Transportation BrokerTaxonomy code 347E00000X

Legal business name

LATINO EXECUTIVE, INC

Practice address

10920 Corona Ave Ste 1
Corona, NY 11368-3943

Phone

(718) 699-0960

NPI assigned

Sep 21, 2019

Last updated

Sep 21, 2019By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Marcelo A Rodriguez

Title

Manager

Phone

(929) 301-5101

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1569024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569024000000",
    "number": "1861043820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10920 CORONA AVE STE 1",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113683943",
            "telephone_number": "718-699-0960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10920 CORONA AVE STE 1",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113683943",
            "telephone_number": "718-699-0960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LATINO EXECUTIVE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-21",
        "last_updated": "2019-09-21",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "MARCELO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "929-301-5101",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "347E00000X",
            "taxonomy_group": "",
            "desc": "Transportation Broker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW YORK CITY TAXI LIMOUSINE COMMISSION",
            "identifier": "B03259",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.