Provider Demographics
NPI:1386657567
Name:OPTIMAL PROFESSIONAL SERVICES, INC.
Entity Type:Organization
Organization Name:OPTIMAL PROFESSIONAL SERVICES, INC.
Other - Org Name:OPTIMAL PROF. SVCS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LAZARO
Authorized Official - Middle Name:
Authorized Official - Last Name:RIVERO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-470-0039
Mailing Address - Street 1:8181 NW 36TH ST
Mailing Address - Street 2:SUITE 1010
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33166-6671
Mailing Address - Country:US
Mailing Address - Phone:305-470-0039
Mailing Address - Fax:305-470-0059
Practice Address - Street 1:8181 NW 36TH ST
Practice Address - Street 2:SUITE 1010
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33166-6671
Practice Address - Country:US
Practice Address - Phone:305-470-0039
Practice Address - Fax:305-470-0059
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies