Healthcare Provider Details

I. General information

NPI: 1083663975
Provider Name (Legal Business Name): ROSMAR MEDICAL EQUIPMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/08/2006
Last Update Date: 01/06/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8743 SW 9TH TER STE 1
MIAMI FL
33174-3235
US

IV. Provider business mailing address

8743 SW 9TH TER STE 1
MIAMI FL
33174-3235
US

V. Phone/Fax

Practice location:
  • Phone: 305-226-0106
  • Fax: 305-226-0107
Mailing address:
  • Phone: 305-226-0106
  • Fax: 305-226-0107

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: RAQUEL LEYVA
Title or Position: PRESIDENT
Credential:
Phone: 305-226-0106