Healthcare Provider Details

I. General information

NPI: 1093875189
Provider Name (Legal Business Name): M&G GENERAL SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/11/2006
Last Update Date: 09/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1254 NW 29TH ST
MIAMI FL
33142-6618
US

IV. Provider business mailing address

1254 NW 29TH ST
MIAMI FL
33142-6618
US

V. Phone/Fax

Practice location:
  • Phone: 305-634-9840
  • Fax: 305-634-9841
Mailing address:
  • Phone: 305-634-9840
  • Fax: 305-634-9841

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: JUAN C MANRESA CASTILLO
Title or Position: OWNER
Credential:
Phone: 305-634-9840