Provider Demographics
NPI:1063663821
Name:RARLENY BETTER LIFE, CORP
Entity Type:Organization
Organization Name:RARLENY BETTER LIFE, CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:EARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:GONZALEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-858-9921
Mailing Address - Street 1:1871 CORAL WAY
Mailing Address - Street 2:SUITE 201
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33145-2786
Mailing Address - Country:US
Mailing Address - Phone:305-858-9921
Mailing Address - Fax:305-858-9922
Practice Address - Street 1:1871 CORAL WAY
Practice Address - Street 2:SUITE 201
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33145-2786
Practice Address - Country:US
Practice Address - Phone:305-858-9921
Practice Address - Fax:305-858-9922
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-09
Last Update Date:2008-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME28504174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLME28504OtherMEDICAL LICENSE
FLME28504OtherMEDICAL LICENSE