Provider Demographics
NPI:1184649162
Name:EQUITY MEDICAL SUPPLY & RENTAL, INC.
Entity Type:Organization
Organization Name:EQUITY MEDICAL SUPPLY & RENTAL, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:ALVAREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-221-6364
Mailing Address - Street 1:16205 SW 117TH AVE
Mailing Address - Street 2:UNIT 24
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33177-1618
Mailing Address - Country:US
Mailing Address - Phone:305-232-1789
Mailing Address - Fax:305-232-0443
Practice Address - Street 1:16205 SW 117TH AVE
Practice Address - Street 2:UNIT 24
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33177-1618
Practice Address - Country:US
Practice Address - Phone:305-232-1789
Practice Address - Fax:305-232-0443
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL5663380001332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL5663380001Medicare NSC