Provider Demographics
NPI:1821076720
Name:EAST COAST RESPIRATORY EQUIPMENT, INC.
Entity Type:Organization
Organization Name:EAST COAST RESPIRATORY EQUIPMENT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:RHEA
Authorized Official - Middle Name:PLANES
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-557-5056
Mailing Address - Street 1:2274 W 80TH ST
Mailing Address - Street 2:BAY 1
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33016-5550
Mailing Address - Country:US
Mailing Address - Phone:305-557-5056
Mailing Address - Fax:305-557-5443
Practice Address - Street 1:2274 W 80TH ST
Practice Address - Street 2:BAY 1
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33016-5550
Practice Address - Country:US
Practice Address - Phone:305-557-5056
Practice Address - Fax:305-557-5443
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2102332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL4776810001Medicare ID - Type Unspecified