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NPI Code Detail

MEDICARE: AMERICA PRESTIGE SERVICES CORP

MEDICARE: AMERICA PRESTIGE SERVICES CORP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332B00000XDurable Medical Equipment & Medical Supplies
23336C0003XCommunity/Retail PharmacyPH 23201FL

General Provider Information

NPI Number : 1568563997
Entity Type Code : Organization
Provider Name (Legal Business Name) : AMERICA PRESTIGE SERVICES CORP
Provider Business Mailing Address
First Line : 2017 W 62ND ST
Second Line :
City : HIALEAH
State : FL
Zip : 33016-2678
Country : US
Telephone Number : 305-512-0941
Fax Number : 305-512-0942
Provider Business Practice Location Address
First Line : 2017 W 62ND ST
Second Line :
City : HIALEAH
State : FL
Zip : 33016-2678
Country : US
Telephone Number : 305-512-0941
Fax Number : 305-512-0942
Authorized Official
Title or Position : PRESIDENT
Name : JAIRO RAGA
Credential :
Telephone Number : 305-512-0941
Provider Enumeration Date : 09/26/2006
Last Update Date : 09/02/2009

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Directions to “AMERICA PRESTIGE SERVICES CORP ” Practice Location

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