Provider Demographics
NPI:1356640023
Name:VANGUARD MEDICAL EQUIPMENT, CORP.
Entity Type:Organization
Organization Name:VANGUARD MEDICAL EQUIPMENT, CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:
Authorized Official - Last Name:LOPEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-231-8227
Mailing Address - Street 1:1275 W 47TH PL STE 437
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-3454
Mailing Address - Country:US
Mailing Address - Phone:305-231-8227
Mailing Address - Fax:786-522-9050
Practice Address - Street 1:1275 W 47TH PL STE 437
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-3454
Practice Address - Country:US
Practice Address - Phone:305-231-8227
Practice Address - Fax:786-522-9050
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-21
Last Update Date:2011-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLTT11448332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies