Provider Demographics
NPI:1629418967
Name:DADE MEDICAL SERVICE USA, INC.
Entity Type:Organization
Organization Name:DADE MEDICAL SERVICE USA, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ANGEL
Authorized Official - Middle Name:
Authorized Official - Last Name:RIESGO SANCHEZ
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:305-639-9831
Mailing Address - Street 1:7225 NW 25TH ST
Mailing Address - Street 2:STE 209
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33122-1706
Mailing Address - Country:US
Mailing Address - Phone:305-639-9831
Mailing Address - Fax:
Practice Address - Street 1:7225 NW 25TH ST
Practice Address - Street 2:STE 209
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33122-1706
Practice Address - Country:US
Practice Address - Phone:305-639-9831
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-01
Last Update Date:2013-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service