Provider Demographics
NPI:1194479360
Name:AV SERVICES SOLUTIONS CORP
Entity type:Organization
Organization Name:AV SERVICES SOLUTIONS CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LIUVANIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ACOSTA GONZALEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-558-5396
Mailing Address - Street 1:2500 NW 79TH AVE STE 217
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33122-1003
Mailing Address - Country:US
Mailing Address - Phone:786-558-5396
Mailing Address - Fax:
Practice Address - Street 1:2500 NW 79TH AVE STE 217
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33122-1003
Practice Address - Country:US
Practice Address - Phone:786-558-5396
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-07
Last Update Date:2022-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies