Provider Demographics
NPI:1487673638
Name:LRV SERVICES, INC
Entity Type:Organization
Organization Name:LRV SERVICES, INC
Other - Org Name:NO
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:LUIS
Authorized Official - Middle Name:
Authorized Official - Last Name:VIDAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-643-2522
Mailing Address - Street 1:1710 NW 7TH ST
Mailing Address - Street 2:SUIT 7
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33125-3500
Mailing Address - Country:US
Mailing Address - Phone:305-643-2522
Mailing Address - Fax:305-643-0207
Practice Address - Street 1:1710 NW 7TH ST
Practice Address - Street 2:SUIT 7
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33125-3500
Practice Address - Country:US
Practice Address - Phone:305-643-2522
Practice Address - Fax:305-643-0207
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies