Provider Demographics
NPI:1376716944
Name:DIVERSIFIED GLOBAL RESOURCES, INC.
Entity Type:Organization
Organization Name:DIVERSIFIED GLOBAL RESOURCES, INC.
Other - Org Name:DGR MEDICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT-CEO
Authorized Official - Prefix:MISS
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:M
Authorized Official - Last Name:NARANJO
Authorized Official - Suffix:
Authorized Official - Credentials:ATP
Authorized Official - Phone:305-466-0346
Mailing Address - Street 1:20191 E COUNTRY CLUB DR
Mailing Address - Street 2:# 2605
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33180-3012
Mailing Address - Country:US
Mailing Address - Phone:305-466-0346
Mailing Address - Fax:786-363-1060
Practice Address - Street 1:20191 E COUNTRY CLUB DR
Practice Address - Street 2:SUITE CU-B
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-3012
Practice Address - Country:US
Practice Address - Phone:305-466-0346
Practice Address - Fax:786-363-1060
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-03
Last Update Date:2010-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies