Provider Demographics
NPI:1306972021
Name:F. R. R. RESPIRATORY SPECIALTIES, P.S.C
Entity type:Organization
Organization Name:F. R. R. RESPIRATORY SPECIALTIES, P.S.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:FELIX
Authorized Official - Middle Name:
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:RT
Authorized Official - Phone:787-859-0121
Mailing Address - Street 1:PO BOX 1620
Mailing Address - Street 2:
Mailing Address - City:COROZAL
Mailing Address - State:PR
Mailing Address - Zip Code:00783-1620
Mailing Address - Country:US
Mailing Address - Phone:787-859-0121
Mailing Address - Fax:787-859-1813
Practice Address - Street 1:19 CALLE NUEVA
Practice Address - Street 2:
Practice Address - City:COROZAL
Practice Address - State:PR
Practice Address - Zip Code:00783-1970
Practice Address - Country:US
Practice Address - Phone:787-859-0121
Practice Address - Fax:787-859-1813
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC1147950001332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR1147950001Medicare ID - Type UnspecifiedPROVIDER NUMBER