Provider Demographics
NPI:1588688618
Name:RL& V MEDICAL SERVICES
Entity type:Organization
Organization Name:RL& V MEDICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RECHART
Authorized Official - Middle Name:
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-270-9859
Mailing Address - Street 1:12859 SW 42ND ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33175-3434
Mailing Address - Country:US
Mailing Address - Phone:305-225-5043
Mailing Address - Fax:305-225-5044
Practice Address - Street 1:12859 SW 42ND ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33175-3434
Practice Address - Country:US
Practice Address - Phone:305-225-5043
Practice Address - Fax:305-225-5044
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-26
Last Update Date:2008-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK8351Medicare ID - Type UnspecifiedMEDICARE PROVIDER