Provider Demographics
NPI:1518070622
Name:REYKO MEDICAL EQUIPMENT CORP.
Entity Type:Organization
Organization Name:REYKO MEDICAL EQUIPMENT CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SERGIO
Authorized Official - Middle Name:
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-643-4140
Mailing Address - Street 1:1770 W FLAGLER ST
Mailing Address - Street 2:SUITE 5
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33135-2019
Mailing Address - Country:US
Mailing Address - Phone:305-643-4140
Mailing Address - Fax:305-643-4452
Practice Address - Street 1:1770 W FLAGLER ST
Practice Address - Street 2:SUITE 5
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33135-2019
Practice Address - Country:US
Practice Address - Phone:305-643-4140
Practice Address - Fax:305-643-4452
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAHCA332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1056660001Medicare ID - Type UnspecifiedMEDICARE PROVIDER #