Provider Demographics
NPI:1104082601
Name:GABLES MEDICAL SUPPLIES, INC
Entity type:Organization
Organization Name:GABLES MEDICAL SUPPLIES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:YARELIS
Authorized Official - Middle Name:
Authorized Official - Last Name:GUTIERRREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-915-0818
Mailing Address - Street 1:1717 N BAYSHORE DR
Mailing Address - Street 2:PHD3951
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33132-1180
Mailing Address - Country:US
Mailing Address - Phone:305-915-0818
Mailing Address - Fax:305-643-4123
Practice Address - Street 1:1717 N BAYSHORE DR
Practice Address - Street 2:PHD3951
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33132-1180
Practice Address - Country:US
Practice Address - Phone:305-915-0818
Practice Address - Fax:305-643-4123
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-04
Last Update Date:2008-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies