Provider Demographics
NPI:1720015829
Name:ATRIUM MEDICAL SUPPLIES INC
Entity Type:Organization
Organization Name:ATRIUM MEDICAL SUPPLIES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RAMON
Authorized Official - Middle Name:R
Authorized Official - Last Name:ORTEGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-305-0914
Mailing Address - Street 1:3900 NW 79TH AVE STE 596
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33166-6570
Mailing Address - Country:US
Mailing Address - Phone:305-305-0914
Mailing Address - Fax:
Practice Address - Street 1:3900 NW 79TH AVE STE 596
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33166-6570
Practice Address - Country:US
Practice Address - Phone:305-305-0914
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies