Provider Demographics
NPI:1386722569
Name:RC MEDICAL INC
Entity type:Organization
Organization Name:RC MEDICAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RAFEAL
Authorized Official - Middle Name:E
Authorized Official - Last Name:CARRAZANA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-228-2639
Mailing Address - Street 1:2460 SW 137TH AVE
Mailing Address - Street 2:SUITE 241
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33175-8803
Mailing Address - Country:US
Mailing Address - Phone:305-228-2639
Mailing Address - Fax:305-228-2669
Practice Address - Street 1:2460 SW 137TH AVE
Practice Address - Street 2:SUITE 241
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33175-8803
Practice Address - Country:US
Practice Address - Phone:305-228-2639
Practice Address - Fax:305-228-2669
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL5303350001Medicare ID - Type Unspecified