Provider Demographics
NPI:1679689046
Name:DOCTORS MEDICAL RENTALS, CORP.
Entity Type:Organization
Organization Name:DOCTORS MEDICAL RENTALS, CORP.
Other - Org Name:DMR
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ANGEL
Authorized Official - Middle Name:NELLO
Authorized Official - Last Name:PARDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-666-9911
Mailing Address - Street 1:10418 NW 31ST TERRACE
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33172-1200
Mailing Address - Country:US
Mailing Address - Phone:305-666-9911
Mailing Address - Fax:305-666-1601
Practice Address - Street 1:10418 NW 31ST TERRACE
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33172-1200
Practice Address - Country:US
Practice Address - Phone:305-666-9911
Practice Address - Fax:305-666-1601
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-21
Last Update Date:2011-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHME508332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL028697400Medicaid
FL672169996OtherWAIVER, MEDICAID
FL672169998 WAIVERMedicaid
FLR4276OtherBC&BS PROVIDER NO
FL672169979 WAIVERMedicaid
FL672169998 WAIVERMedicaid
FL028697400Medicaid