Provider Demographics
NPI:1588092050
Name:HELIX VIRTUAL, INC
Entity type:Organization
Organization Name:HELIX VIRTUAL, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-813-8399
Mailing Address - Street 1:2720 10TH AVE N
Mailing Address - Street 2:
Mailing Address - City:PALM SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33461-3100
Mailing Address - Country:US
Mailing Address - Phone:888-944-3549
Mailing Address - Fax:772-463-3072
Practice Address - Street 1:2720 10TH AVE N
Practice Address - Street 2:
Practice Address - City:PALM SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33461-3100
Practice Address - Country:US
Practice Address - Phone:888-944-3549
Practice Address - Fax:772-463-3072
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MECNB, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-10-21
Last Update Date:2024-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL77301Medicare PIN