=====================================================
General NPI Number Information
=====================================================
NPI Number | 1679689046
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | DOCTORS MEDICAL RENTALS, CORP.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/21/2006
-----------------------------------------------------
Last Update Date | 11/14/2011
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 10418 NW 31ST TERRACE
-----------------------------------------------------
City | DORAL
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33172-1200
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 305-666-9911
-----------------------------------------------------
Fax | 305-666-1601
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 10418 NW 31ST TERRACE
-----------------------------------------------------
City | DORAL
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33172-1200
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 305-666-9911
-----------------------------------------------------
Fax | 305-666-1601
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | MR. ANGEL NELLO PARDO
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 305-666-9911
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 332BC3200X
-----------------------------------------------------
Taxonomy Name | Customized Equipment (DME)
-----------------------------------------------------
License Number | HME508
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------