Provider Demographics
NPI:1124231956
Name:M V G , INC
Entity Type:Organization
Organization Name:M V G , INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:IRENE
Authorized Official - Middle Name:E
Authorized Official - Last Name:CRUZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-818-4997
Mailing Address - Street 1:7570 NW 14TH ST
Mailing Address - Street 2:SUITE 113
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-1700
Mailing Address - Country:US
Mailing Address - Phone:305-818-4997
Mailing Address - Fax:305-406-3411
Practice Address - Street 1:7570 NW 14TH ST
Practice Address - Street 2:SUITE 113
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126-1700
Practice Address - Country:US
Practice Address - Phone:305-818-4997
Practice Address - Fax:305-406-3411
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1160730001Medicare ID - Type Unspecified