Provider Demographics
NPI:1972540698
Name:NEIGHBORHOOD MEDICAL EQUIPMENT CORP.
Entity type:Organization
Organization Name:NEIGHBORHOOD MEDICAL EQUIPMENT CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LUIS
Authorized Official - Middle Name:ENRIQUE
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-218-8056
Mailing Address - Street 1:18710 SW 107 AVENUE
Mailing Address - Street 2:SUITE 27
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33157-6776
Mailing Address - Country:US
Mailing Address - Phone:305-235-2492
Mailing Address - Fax:305-235-2612
Practice Address - Street 1:18710 SW 107 AVENUE
Practice Address - Street 2:SUITE 27
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33157-6776
Practice Address - Country:US
Practice Address - Phone:305-235-2492
Practice Address - Fax:305-235-2612
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-01
Last Update Date:2009-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL5511950001Medicare NSC