Provider Demographics
NPI:1114037512
Name:MEDCO SERVICES, INC.
Entity Type:Organization
Organization Name:MEDCO SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JUAN
Authorized Official - Middle Name:PABLO
Authorized Official - Last Name:RIVERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-364-6269
Mailing Address - Street 1:9900 STIRLING RD
Mailing Address - Street 2:201
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33024-8065
Mailing Address - Country:US
Mailing Address - Phone:954-364-6269
Mailing Address - Fax:954-364-6269
Practice Address - Street 1:9900 STIRLING RD
Practice Address - Street 2:201
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33024-8065
Practice Address - Country:US
Practice Address - Phone:954-364-6269
Practice Address - Fax:954-364-6269
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1313104332B00000X
FL3204743332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Not Answered332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies