Provider Demographics
NPI:1861008062
Name:RELIEF- ORTHO CORP
Entity Type:Organization
Organization Name:RELIEF- ORTHO CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LESKY
Authorized Official - Middle Name:
Authorized Official - Last Name:HERNANDEZ CONDE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-703-9831
Mailing Address - Street 1:6878 W FLAGLER ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33144-2814
Mailing Address - Country:US
Mailing Address - Phone:786-703-9831
Mailing Address - Fax:786-703-9832
Practice Address - Street 1:6878 W FLAGLER ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33144-2814
Practice Address - Country:US
Practice Address - Phone:786-703-9831
Practice Address - Fax:786-703-9832
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-22
Last Update Date:2020-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies