Provider Demographics
NPI:1225768385
Name:TSB SERVICES CORP
Entity Type:Organization
Organization Name:TSB SERVICES CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:RENIER
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMIREZ ESTRADA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-200-3982
Mailing Address - Street 1:3508 NW 114TH AVE STE 210
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33178-1841
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3508 NW 114TH AVE STE 210
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33178-1841
Practice Address - Country:US
Practice Address - Phone:305-200-3982
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-13
Last Update Date:2022-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies