Healthcare Provider Details

I. General information

NPI: 1447578836
Provider Name (Legal Business Name): RER MEDICAL SERRVISES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/10/2010
Last Update Date: 05/10/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7175 SW 8TH ST STE. 202
MIAMI FL
33144-4676
US

IV. Provider business mailing address

7175 SW 8TH ST STE. 202
MIAMI FL
33144-4676
US

V. Phone/Fax

Practice location:
  • Phone: 305-262-3026
  • Fax: 303-262-3027
Mailing address:
  • Phone: 305-262-3026
  • Fax: 303-262-3027

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License NumberMM 24724
License Number StateFL

VIII. Authorized Official

Name: EMILIO GOMEZ
Title or Position: PRESIDENT
Credential: LMT
Phone: 305-262-3026