=====================================================
General NPI Number Information
=====================================================
NPI Number | 1144283961
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | RX PLUS MEDICAL CARE INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/11/2006
-----------------------------------------------------
Last Update Date | 12/03/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 888 NW 27TH AVE # L4
-----------------------------------------------------
City | MIAMI
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33125
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 305-642-1674
-----------------------------------------------------
Fax | 305-572-1149
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 888 NW 27TH AVE STE # L4
-----------------------------------------------------
City | MIAMI
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33125
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 305-642-1674
-----------------------------------------------------
Fax | 305-572-1149
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | LAZARO SANCHEZ
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 305-642-1674
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 332B00000X
-----------------------------------------------------
Taxonomy Name | Durable Medical Equipment & Medical Supplies
-----------------------------------------------------
License Number | AHCA1775
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------