Provider Demographics
NPI:1780823617
Name:RCL GROUP SERVICE INC
Entity Type:Organization
Organization Name:RCL GROUP SERVICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROGELIO
Authorized Official - Middle Name:
Authorized Official - Last Name:CANOVA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-308-8286
Mailing Address - Street 1:10773 NW 58 ST SUITE# 763
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33178
Mailing Address - Country:US
Mailing Address - Phone:786-308-8286
Mailing Address - Fax:786-752-3278
Practice Address - Street 1:10773 NW 58TH ST # 763
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33178-2801
Practice Address - Country:US
Practice Address - Phone:786-308-8286
Practice Address - Fax:786-752-3278
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-17
Last Update Date:2009-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center