Provider Demographics
NPI:1326068107
Name:R A HOME MEDICAL EQUIP INC
Entity Type:Organization
Organization Name:R A HOME MEDICAL EQUIP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RAQUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:AVILES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-631-9855
Mailing Address - Street 1:1800 SW 1ST ST
Mailing Address - Street 2:SUITE #211
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33135-1960
Mailing Address - Country:US
Mailing Address - Phone:305-631-9855
Mailing Address - Fax:305-631-9227
Practice Address - Street 1:1800 SW 1ST ST
Practice Address - Street 2:SUITE #211
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33135-1960
Practice Address - Country:US
Practice Address - Phone:305-631-9855
Practice Address - Fax:305-631-9227
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAHCA2023332B00000X
FL3203120332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Not Answered332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL4743430001Medicare ID - Type Unspecified