Provider Demographics
NPI:1477695625
Name:ADRIAN NOYA CORP
Entity Type:Organization
Organization Name:ADRIAN NOYA CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ADRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:NOYA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-947-4631
Mailing Address - Street 1:16300 NE 19TH AVE
Mailing Address - Street 2:SUITE 239
Mailing Address - City:NORTH MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33162-4883
Mailing Address - Country:US
Mailing Address - Phone:305-947-4631
Mailing Address - Fax:305-947-4632
Practice Address - Street 1:16300 NE 19TH AVE
Practice Address - Street 2:SUITE 239
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33162-4883
Practice Address - Country:US
Practice Address - Phone:305-947-4631
Practice Address - Fax:305-947-4632
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-13
Last Update Date:2008-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL5951270001Medicare NSC