Provider Demographics
NPI:1417007626
Name:AQUARIO SIGNS CORPORATION
Entity Type:Organization
Organization Name:AQUARIO SIGNS CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MISS
Authorized Official - First Name:MAGALYS
Authorized Official - Middle Name:
Authorized Official - Last Name:PUENTES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-342-3459
Mailing Address - Street 1:16919 N BAY RD APT 918
Mailing Address - Street 2:
Mailing Address - City:SUNNY ISLES BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33160-4220
Mailing Address - Country:US
Mailing Address - Phone:305-949-1808
Mailing Address - Fax:305-945-5134
Practice Address - Street 1:633 NE 167TH ST STE 323
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33162-2441
Practice Address - Country:US
Practice Address - Phone:305-652-1677
Practice Address - Fax:305-652-1679
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies