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General NPI Number Information
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NPI Number | 1376648501
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Entity Type | Organization
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Legal Business Name | MEDENVIOS HEALTHCARE, INC.
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Dates
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Enumeration Date | 09/13/2006
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Last Update Date | 08/20/2020
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Provider Practice Location Address
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Address Line | 7415 CORPORATE CENTER DR STE E
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City | MIAMI
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State | FL
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Zip | 33126-1215
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Country | US
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Telephone | 305-639-1980
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Fax | 305-639-1979
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Provider Business Mailing Address
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Address Line | 7415 CORPORATE CENTER DR STE E
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City | MIAMI
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State | FL
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Zip | 33126-1215
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Country | US
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Telephone | 305-639-1980
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Fax | 305-639-1979
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. MICHAEL PAUL GARCIA
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Credential |
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Telephone | 305-639-1980
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 1312693
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License Number State | FL
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