Provider Demographics
NPI:1093815664
Name:MEKANO SERVICES CENTER INC.
Entity Type:Organization
Organization Name:MEKANO SERVICES CENTER INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JESUS
Authorized Official - Middle Name:
Authorized Official - Last Name:MURGADO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-556-6090
Mailing Address - Street 1:4711 NW 79TH AVE STE 22-B
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33166-5452
Mailing Address - Country:US
Mailing Address - Phone:786-556-6090
Mailing Address - Fax:
Practice Address - Street 1:4711 NW 79TH AVE STE 22-B
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33166-5452
Practice Address - Country:US
Practice Address - Phone:786-556-6090
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies