Provider Demographics
NPI:1003569633
Name:IGLD SERVICES SOLUTIONS CORP
Entity Type:Organization
Organization Name:IGLD SERVICES SOLUTIONS CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ILEN
Authorized Official - Middle Name:
Authorized Official - Last Name:GONZALEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-591-9656
Mailing Address - Street 1:9500 NW 77TH AVE STE 11
Mailing Address - Street 2:
Mailing Address - City:HIALEAH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33016-2502
Mailing Address - Country:US
Mailing Address - Phone:786-591-9656
Mailing Address - Fax:
Practice Address - Street 1:9500 NW 77TH AVE STE 11
Practice Address - Street 2:
Practice Address - City:HIALEAH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33016-2502
Practice Address - Country:US
Practice Address - Phone:786-591-9656
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-02
Last Update Date:2022-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies