Provider Demographics
NPI:1780636464
Name:MEDICAL RESPIRATORY RENTALS, INC.
Entity Type:Organization
Organization Name:MEDICAL RESPIRATORY RENTALS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:WALTER
Authorized Official - Middle Name:
Authorized Official - Last Name:PERMUY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-591-1019
Mailing Address - Street 1:1928 NW 79TH AVE
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33126-1100
Mailing Address - Country:US
Mailing Address - Phone:305-591-1019
Mailing Address - Fax:305-591-0945
Practice Address - Street 1:1928 NW 79TH AVE
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33126-1100
Practice Address - Country:US
Practice Address - Phone:305-591-1019
Practice Address - Fax:305-591-0945
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-17
Last Update Date:2008-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL389332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL950421400Medicaid
FLR7246OtherBCBS OF FL (DME)
FL0636820001Medicare NSC