Provider Demographics
NPI:1851140842
Name:PERFECT CHOICE I INC
Entity type:Organization
Organization Name:PERFECT CHOICE I INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YAISEL
Authorized Official - Middle Name:
Authorized Official - Last Name:GOMEZ GONZALEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-245-5633
Mailing Address - Street 1:200 S BISCAYNE BLVD STE 314
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33131-2310
Mailing Address - Country:US
Mailing Address - Phone:786-245-5633
Mailing Address - Fax:
Practice Address - Street 1:200 S BISCAYNE BLVD STE 314
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33131-2310
Practice Address - Country:US
Practice Address - Phone:786-245-5633
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-14
Last Update Date:2024-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies