Provider Demographics
NPI:1003465691
Name:POTENZA SERVICES INC
Entity Type:Organization
Organization Name:POTENZA SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CESAR
Authorized Official - Middle Name:
Authorized Official - Last Name:GIRALDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-400-4839
Mailing Address - Street 1:10711 SW 216TH ST STE 100-206
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33170-3139
Mailing Address - Country:US
Mailing Address - Phone:305-400-4938
Mailing Address - Fax:
Practice Address - Street 1:10711 SW 216TH ST STE 100-206
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33170-3139
Practice Address - Country:US
Practice Address - Phone:305-400-4938
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-06
Last Update Date:2019-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332100000XSuppliersDepartment of Veterans Affairs (VA) Pharmacy
No3336C0002XSuppliersPharmacyClinic Pharmacy