Provider Demographics
NPI:1831108893
Name:RO MEDICAL SERVICES, INC
Entity Type:Organization
Organization Name:RO MEDICAL SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:HATEM
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:305-261-0011
Mailing Address - Street 1:7200 NW 7TH ST
Mailing Address - Street 2:SUITE 333
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-2948
Mailing Address - Country:US
Mailing Address - Phone:305-261-0011
Mailing Address - Fax:305-261-0811
Practice Address - Street 1:7200 NW 7TH ST
Practice Address - Street 2:SUITE 333
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126-2948
Practice Address - Country:US
Practice Address - Phone:305-261-0011
Practice Address - Fax:305-261-0811
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC4269208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLD59093Medicare UPIN
FLK3539Medicare ID - Type Unspecified