Provider Demographics
NPI:1982764155
Name:BALTIMORE MEDICAL SERVICES INC
Entity type:Organization
Organization Name:BALTIMORE MEDICAL SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:YORDANIS
Authorized Official - Middle Name:
Authorized Official - Last Name:OVIDES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-644-9190
Mailing Address - Street 1:215 SW 17TH AVE
Mailing Address - Street 2:216
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33135-3689
Mailing Address - Country:US
Mailing Address - Phone:305-644-9190
Mailing Address - Fax:305-644-9177
Practice Address - Street 1:215 SW 17TH AVE
Practice Address - Street 2:216
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33135-3689
Practice Address - Country:US
Practice Address - Phone:305-644-9190
Practice Address - Fax:305-644-9177
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL=========OtherEIN