Provider Demographics
NPI:1861505497
Name:ALLSTATE MEDICAL RENTAL CORP
Entity Type:Organization
Organization Name:ALLSTATE MEDICAL RENTAL CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SALVADORA
Authorized Official - Middle Name:
Authorized Official - Last Name:MONTIEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-971-2466
Mailing Address - Street 1:13990 SW 139TH CT
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-5513
Mailing Address - Country:US
Mailing Address - Phone:305-971-2466
Mailing Address - Fax:305-971-3266
Practice Address - Street 1:13990 SW 139TH CT
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-5513
Practice Address - Country:US
Practice Address - Phone:305-971-2466
Practice Address - Fax:305-971-3266
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-17
Last Update Date:2007-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1899332B00000X, 332BP3500X
FL3203005332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL4671180001Medicare NSC