Provider Demographics
NPI:1851424212
Name:A.G.R. MEDICAL SERVICES, INC.
Entity Type:Organization
Organization Name:A.G.R. MEDICAL SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JORGE
Authorized Official - Middle Name:J
Authorized Official - Last Name:GONZALEZ PEREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-255-6397
Mailing Address - Street 1:15190 SW 136TH ST
Mailing Address - Street 2:SUITE 25
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33196-2604
Mailing Address - Country:US
Mailing Address - Phone:305-255-6397
Mailing Address - Fax:305-255-6398
Practice Address - Street 1:15190 SW 136TH ST
Practice Address - Street 2:SUITE 25
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33196-2604
Practice Address - Country:US
Practice Address - Phone:305-255-6397
Practice Address - Fax:305-255-6398
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL5740270001Medicare ID - Type Unspecified