Provider Demographics
NPI:1790840650
Name:GABLES PRUDENTIAL SERVICES, INC
Entity Type:Organization
Organization Name:GABLES PRUDENTIAL SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALEXANDER
Authorized Official - Middle Name:
Authorized Official - Last Name:SUAREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-698-8033
Mailing Address - Street 1:1580 W 38TH PL
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-7055
Mailing Address - Country:US
Mailing Address - Phone:305-698-8033
Mailing Address - Fax:305-698-8128
Practice Address - Street 1:1580 W 38TH PL
Practice Address - Street 2:5
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-7055
Practice Address - Country:US
Practice Address - Phone:305-698-8033
Practice Address - Fax:305-698-8128
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies