Provider Demographics
NPI:1629008503
Name:ON DEMAND MEDICAL EQUIPMENT LLC
Entity Type:Organization
Organization Name:ON DEMAND MEDICAL EQUIPMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:HECTOR
Authorized Official - Middle Name:
Authorized Official - Last Name:PEREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-591-4028
Mailing Address - Street 1:8051 NW 36TH ST
Mailing Address - Street 2:SUITE 600C
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33166-6626
Mailing Address - Country:US
Mailing Address - Phone:305-591-4028
Mailing Address - Fax:305-591-4028
Practice Address - Street 1:8051 NW 36TH ST
Practice Address - Street 2:SUITE 600C
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33166-6626
Practice Address - Country:US
Practice Address - Phone:305-591-4028
Practice Address - Fax:305-591-4028
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-04
Last Update Date:2007-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL5738050001Medicare NSC