Provider Demographics
NPI:1750841508
Name:LEGUEZ GROUP INC
Entity Type:Organization
Organization Name:LEGUEZ GROUP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:LUIS
Authorized Official - Last Name:RODRIGUEZ LEBRON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-397-3142
Mailing Address - Street 1:5001 SW 74TH CT
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33155-4483
Mailing Address - Country:US
Mailing Address - Phone:786-397-3142
Mailing Address - Fax:
Practice Address - Street 1:5001 SW 74TH CT
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155-4483
Practice Address - Country:US
Practice Address - Phone:786-397-3142
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-20
Last Update Date:2019-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies