Provider Demographics
NPI:1164447892
Name:R.A. MEDICAL EQUIPMENT & SUPPLIES
Entity Type:Organization
Organization Name:R.A. MEDICAL EQUIPMENT & SUPPLIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROSMIRA
Authorized Official - Middle Name:ESTHER
Authorized Official - Last Name:RAMIREZ
Authorized Official - Suffix:
Authorized Official - Credentials:PT-CWS-CFO
Authorized Official - Phone:561-865-9909
Mailing Address - Street 1:15200 JOG RD STE C3
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33446-1248
Mailing Address - Country:US
Mailing Address - Phone:561-865-9909
Mailing Address - Fax:561-865-9996
Practice Address - Street 1:15200 JOG RD STE C3
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33446-1248
Practice Address - Country:US
Practice Address - Phone:561-865-9909
Practice Address - Fax:561-865-9996
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-13
Last Update Date:2007-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL5126870001Medicare NSC