Provider Demographics
NPI:1326056664
Name:SOL MEDICAL EQUIPMENT AND SUPPLIES INC
Entity Type:Organization
Organization Name:SOL MEDICAL EQUIPMENT AND SUPPLIES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARISOL
Authorized Official - Middle Name:
Authorized Official - Last Name:ORTEGA RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-376-2718
Mailing Address - Street 1:13205 SW 137TH AVE
Mailing Address - Street 2:#130
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-5331
Mailing Address - Country:US
Mailing Address - Phone:305-253-2748
Mailing Address - Fax:305-253-2749
Practice Address - Street 1:13205 SW 137TH AVE
Practice Address - Street 2:#130
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-5331
Practice Address - Country:US
Practice Address - Phone:305-253-2748
Practice Address - Fax:305-253-2749
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-03
Last Update Date:2007-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL5766410001Medicare NSC