Provider Demographics
NPI:1477759777
Name:ERGO CONCEPTS INC
Entity Type:Organization
Organization Name:ERGO CONCEPTS INC
Other - Org Name:BACK & BED STORES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RAFAEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:DIAZ
Authorized Official - Suffix:
Authorized Official - Credentials:CHIROPRACTOR
Authorized Official - Phone:561-266-8870
Mailing Address - Street 1:825 NE 6TH AVE
Mailing Address - Street 2:FEDERAL HWY
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33483-5734
Mailing Address - Country:US
Mailing Address - Phone:561-699-9771
Mailing Address - Fax:561-450-8342
Practice Address - Street 1:825 NE 6TH AVE
Practice Address - Street 2:FEDERAL HWY
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33483-5734
Practice Address - Country:US
Practice Address - Phone:561-699-9771
Practice Address - Fax:561-450-8342
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies