Healthcare Provider Details

I. General information

NPI: 1841104916
Provider Name (Legal Business Name): CREST HEALTH SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1701 W FLAGLER ST STE 336
MIAMI FL
33135-2272
US

IV. Provider business mailing address

1701 W FLAGLER ST STE 336
MIAMI FL
33135-2272
US

V. Phone/Fax

Practice location:
  • Phone: 888-772-2445
  • Fax: 888-772-7904
Mailing address:
  • Phone: 888-772-2445
  • Fax: 888-772-7904

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MICHAEL RODRIGUEZ
Title or Position: MGR
Credential:
Phone: 888-772-2445