Healthcare Provider Details

I. General information

NPI: 1356833966
Provider Name (Legal Business Name): EMC RESPIRATORY CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/31/2018
Last Update Date: 05/31/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19341 NW 82ND CT
HIALEAH FL
33015-5300
US

IV. Provider business mailing address

19341 NW 82ND CT
HIALEAH FL
33015-5300
US

V. Phone/Fax

Practice location:
  • Phone: 305-608-1790
  • Fax: 305-829-5744
Mailing address:
  • Phone: 305-608-1790
  • Fax: 305-829-5744

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code227900000X
TaxonomyRegistered Respiratory Therapist
License NumberRT11866
License Number StateFL

VIII. Authorized Official

Name: MR. EUGENIO CASTANEDA
Title or Position: OWNER
Credential:
Phone: 305-608-1790