Provider Demographics
NPI:1851853121
Name:MILLER MEDICAL EQUIPMENT INC
Entity Type:Organization
Organization Name:MILLER MEDICAL EQUIPMENT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RODRIQUEZ
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-240-3198
Mailing Address - Street 1:161 W SAN YSIDRO BLVD STE B-102
Mailing Address - Street 2:
Mailing Address - City:SAN YSIDRO
Mailing Address - State:CA
Mailing Address - Zip Code:92173-2555
Mailing Address - Country:US
Mailing Address - Phone:619-240-3198
Mailing Address - Fax:
Practice Address - Street 1:161 W SAN YSIDRO BLVD STE B-102
Practice Address - Street 2:
Practice Address - City:SAN YSIDRO
Practice Address - State:CA
Practice Address - Zip Code:92173-2555
Practice Address - Country:US
Practice Address - Phone:619-240-3198
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-04
Last Update Date:2019-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies