Provider Demographics
NPI:1104818293
Name:INTER S INC
Entity type:Organization
Organization Name:INTER S INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARLENE
Authorized Official - Middle Name:
Authorized Official - Last Name:SUAREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-227-2740
Mailing Address - Street 1:PO BOX 653941
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33265-3941
Mailing Address - Country:US
Mailing Address - Phone:305-227-2740
Mailing Address - Fax:305-225-1143
Practice Address - Street 1:14453 SW 115TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186
Practice Address - Country:US
Practice Address - Phone:305-227-2740
Practice Address - Fax:305-225-1143
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-16
Last Update Date:2008-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL682523100251E00000X
FL683038279251E00000X
FL677381802251E00000X
FL683038296251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL682523100Medicaid
FL677381802Medicaid
FL683038279Medicaid
FL683038296Medicaid
FL683038296OtherDEVELOPMENT SERVICES FAMI