Provider Demographics
NPI:1871508697
Name:CARE RESCUE MEDICAL EQUIPMENT INC.
Entity Type:Organization
Organization Name:CARE RESCUE MEDICAL EQUIPMENT INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ODALYS
Authorized Official - Middle Name:
Authorized Official - Last Name:HEREDIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-235-2290
Mailing Address - Street 1:16205 SW 117TH AVE UNIT 3C
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33177-1619
Mailing Address - Country:US
Mailing Address - Phone:305-235-2290
Mailing Address - Fax:305-234-4287
Practice Address - Street 1:16205 SW 117TH AVE UNIT 3C
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33177-1619
Practice Address - Country:US
Practice Address - Phone:305-235-2290
Practice Address - Fax:305-234-4287
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL32 : 03752332B00000X
FL1312198332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL5166400001Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER