Provider Demographics
NPI:1073578423
Name:E & M MEDICAL SERVICES INC
Entity Type:Organization
Organization Name:E & M MEDICAL SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROGER
Authorized Official - Middle Name:
Authorized Official - Last Name:VAZQUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-827-1815
Mailing Address - Street 1:935 W 49TH ST
Mailing Address - Street 2:STE 102
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33012-3436
Mailing Address - Country:US
Mailing Address - Phone:305-827-1815
Mailing Address - Fax:305-827-1851
Practice Address - Street 1:935 W 49TH ST
Practice Address - Street 2:STE 102
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33012-3436
Practice Address - Country:US
Practice Address - Phone:305-827-1815
Practice Address - Fax:305-827-1851
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK5680Medicare ID - Type Unspecified