Provider Demographics
NPI:1962558858
Name:BELTMART SERVICES, INC.
Entity type:Organization
Organization Name:BELTMART SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:E
Authorized Official - Last Name:HERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-885-4343
Mailing Address - Street 1:8346 NW SOUTH RIVER DR
Mailing Address - Street 2:UNIT A
Mailing Address - City:MEDLEY
Mailing Address - State:FL
Mailing Address - Zip Code:33166-7446
Mailing Address - Country:US
Mailing Address - Phone:305-885-4343
Mailing Address - Fax:305-885-4370
Practice Address - Street 1:8346 NW SOUTH RIVER DR
Practice Address - Street 2:UNIT A
Practice Address - City:MEDLEY
Practice Address - State:FL
Practice Address - Zip Code:33166-7446
Practice Address - Country:US
Practice Address - Phone:305-885-4343
Practice Address - Fax:305-885-4370
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-25
Last Update Date:2013-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL830332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL951991200Medicaid
FL951991200Medicaid