MEDICARE: EAST COAST RESPIRATORY EQUIPMENT, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332BX2000X	Oxygen Equipment & Supplies (DME)	2102	FL

General Provider Information

NPI Number	:	1821076720
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EAST COAST RESPIRATORY EQUIPMENT, INC.

Provider Business Mailing Address
First Line	:	2274 W 80TH ST
Second Line	:	BAY 1
City	:	HIALEAH
State	:	FL
Zip	:	33016-5550
Country	:	US
Telephone Number	:	305-557-5056
Fax Number	:	305-557-5443

Provider Business Practice Location Address
First Line	:	2274 W 80TH ST
Second Line	:	BAY 1
City	:	HIALEAH
State	:	FL
Zip	:	33016-5550
Country	:	US
Telephone Number	:	305-557-5056
Fax Number	:	305-557-5443

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. RHEA PLANES MARTINEZ
Credential	:
Telephone Number	:	305-557-5056

Provider Enumeration Date	:	01/03/2006
Last Update Date	:	08/22/2020

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