Provider Demographics
NPI:1821263070
Name:ADR SERVICES GROUP INC
Entity Type:Organization
Organization Name:ADR SERVICES GROUP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ADONIS
Authorized Official - Middle Name:
Authorized Official - Last Name:DIAZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-882-1554
Mailing Address - Street 1:4471 NW 36TH ST
Mailing Address - Street 2:231
Mailing Address - City:MIAMI SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33166-7285
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:305-805-1574
Practice Address - Street 1:4471 NW 36TH ST
Practice Address - Street 2:231
Practice Address - City:MIAMI SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33166-7285
Practice Address - Country:US
Practice Address - Phone:305-882-1554
Practice Address - Fax:305-805-1574
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-29
Last Update Date:2008-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPENDING MEDICARE #OtherPENDING MEDICARE #