Healthcare Provider Details
I. General information
NPI: 1386717403
Provider Name (Legal Business Name): YRA MEDICAL SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/16/2006
Last Update Date: 11/02/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
13255 SW 137 AVE SUITE # 108
MIAMI FL
33186-5326
US
IV. Provider business mailing address
13255 SW 137 AVE SUITE # 108
MIAMI FL
33186-5326
US
V. Phone/Fax
- Phone: 786-573-3557
- Fax: 786-573-3558
- Phone: 786-573-3557
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
YUCET
RODRIGUEZ
ARMAS
Title or Position: PRESIDENT
Credential:
Phone: 786-573-3557